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, � ,� , <br /> Total Fee: $ �0 7�• � Date Received: /d� 7� 8 <br /> Entered By: Permit#: �(�a 'D�� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all informadon) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �6 8� S h a a y w oo d, Roo�d,�R�zIP M 5�3 3 I <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑NO If yes,a special event permit is required with Police Department and City Council approval <br /> 60 dcrys prior to the event. Shuttle bus service wil!be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: 80�r r y Sew A�� PHONE: (home 3�d al`� –75�3 <br /> (work) <br /> MAILING ADDRESS: 23oa a«1�Ara.D t. S1N CITY: W i(F m o.r' ZIP: S 6'1-�I <br /> �j�' �f��.t`�S� CONTRACTOR: $,,�n�ckler C�s-Fom Qu����e1�?Nc.PHONE: 95a-8a8'�9� <br /> U�����, CONTACT PERSON: 7,,,ck Snn�c kl er MOBILE/PAGER: <br /> MAILING ADDRESS: U e.S .CITY: N ZIP: <br /> ����„f S _ • v L�/ .4 Ssy 3g <br /> STATE LICENSE: # ?,e� 3 8 4 Z EXPIRATION DATE: 3 �3�/U 9 <br /> / � <br /> �� }��aX: �t52- �Z8��Q001 <br /> � (,�r° ARCHITECT/ENGINEER: Smuckler Arc���'ec'fure pHONE: 45�'�Z$`Iq0$ <br /> MAILIN�'ADDRESS: 7Sb�was l,�Nq�nr i4ve. S. CITY: .E�INR ZIP: 55y3q <br /> — NAME:�+ J'�2(/GI�G� REGISTRATION: # L/ SP� Qi <br /> TYPE OF WORK: New Home � Addition Accessory Structure <br /> Move Home RemodeUAlteration(ie: Siding,Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detain: �t/e w co NS'�v'vc�'ioN �7�' <br /> S�Na e w,n.`, 1� I�CME <br /> I,vwer �eve� 29s� " � <br /> STORIES: I SQ.FEET OF EACH FLOOR: Mq�w t�ve l 3'75o p � <br /> NO. OF BEDROOMS:� GARAGE STALLS: ATTACHED� DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �. 3 5d�� o'd"�• `�' <br /> T— <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATU DATE: /d�27 D� <br /> 31 <br />