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Nov 27 06 12:OOp The Gopher Company 6123317725 p.1 <br /> , • r��lS� <br /> , <br /> Tat�l Fee: $ �(�l.�� � Date Received: f L.�"7-e't�-' <br /> E�tered By: _y`; ti(_ �errnit#: �-/t�S-fs'� <br /> --, <br /> CITY OF ORONO - SUILDING PERMiT APPLICATION <br /> All information must be submitted in full before plaa review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (eircle one) OWNER O CONTRACTOR <br /> JOB SITE�DDRESS: _o�� � � �j�1AG�y �1�L�C►Gt ��0.!� ZIP: J�J��?j! <br /> Will this be a Parade of Homes,Remodelers S6owcase Home or other Disp�ay�Iome? <br /> ❑YC5 ❑�O If ye,s,a special even�permit is required with police Depart►nerrt and City Council approva7 <br /> 60 days prior tv the eveni. Shuttle bus service wi116e reguired unless applicant demon.strates <br /> su,�`'rcient on-site parking�:s available. Nore permitted events will not be a7lowed. <br /> C,1'}k,rC4l <br /> NAME OF OWNER: � �i r'►d (;h,r i s�'i a n �1�u,��1 PHO • (l�e�e} 1�3.`�q 5.�1��� <br /> �iv� i+�ir.�r� (v�,ork) (2 it.4"1 o.'3Z�2 <br /> MAILINGADDRESS:���11 5�'Id�,� ��0� �lAO� CITY: �'xG�•ISio,i ZIp; ��f3ai <br /> CONTRACTUR: �d h� �Yh.� a-{Z PHONE: (��. 3 3 t. 1�� <br /> CO N T A C T P E R S O N: ' -1 eN MOBILE/PAGER: �iZ. 3�i�. �ZD� <br /> MAILING ADDRESS: _ 7a1 '�'� �Y►WL�-S.�'1 CITY: (r��1t a��� �IP: `r,�'�i�' <br /> STATE LICENSE: # EXPIRATION DATE:� 31� ��� <br /> ARCI�TI'ECT/ENGINEER: P�iONE: <br /> MAILING ADDRESS: CI�Y: ZIP: <br /> �A�� REGISTRATION: # �I <br /> TYPE QF WORK: New Home Addition Accessory Structure <br /> Move Hvme RemodeUAlteration(ie: Siding,Windows) rQ - ��/ <br /> Any earth movement may require MCWD review an,d perrnits! <br /> PROPOSE�WORK(describe in detail): ��.�� Q.-Y�'O..FihGd� <br /> STORIES: SQ.FEE'F OF EACH FIAOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMA'TED CONSTRUCTION VALUATION(excluding land}; $__J�{, ��(�.� <br /> I hereby apply for a building pennit and I acknowledge tbat the infocmation above is complete and accurate; <br /> that the work wi1l be in confonnance with the ordinances and codes ofthe City and with the 5tate Building <br /> Code;that I undecstand this is not a permit and work is not to starl without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: �ti �`'�DATE: �( ' Z�� �4 <br /> 31 <br />