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r <br /> j <br /> Total Fee: $ Date Received: 10' u-01 <br /> Entered By: C,fYZM Permit#: iqI ko( <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 information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRALTO <br /> JOB SITE ADDRESS: I SZb FO&O ZIP: 5,535 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �O !f yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: IZ.OB`i C`TOMP509 PHONE: (home)X52-4-15-►Z -)q <br /> (work) 4pa-1o25- 7&93 <br /> MAILING ADDRESS: 15ZO -rA*t4UL E WooD ?-D. CITY:1--oAC-, t-k4E ZIP: 65315 <br /> CONTRACTOR: AL. t1iy�, c44 � Sow' PHONE:7lo3-4jlZ-27►(o <br /> CONTACTPERSON: ttuANe WF-6a4 MOBILE/PAGER: lo�Z--159-8235 <br /> MAILING ADDRESS: P,o, 5ox G 33 CITY: DELA1-O ZIP: 5 532 <br /> STATE LICENSE: # 1 z-1c7 EXPIRATION DATE: 700E� <br /> ARCHITECT/ENGINEER: ruNL-EP— k5Sz, AeCt (Te:: 5 PHONE: (B12-311-gt9s <br /> MAILING ADDRESS:240 t-brj#y ,WaHut= CITY:MP!-S, ZIP: 55401 <br /> NAME: 1za-lt�l FAvi-. +t om► REGISTRATION: # 2 1 5S(o <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detail): I NTt=121t7e- MAGI N FL-00C, <br /> fzM'beY- "IfT rv/CAS ltrzQLi� I-ITe4E 4 j OA144 F--t f:L <br /> STORIES: SQ.FEET OF EACH FLOOR: Q2.,oOara" <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Z 0SO`=�0 5 '►� <br /> I hereby apply for a building permit and I acknowledge that the information above is corn-. ' <br /> that the work will be in conformance with the ordinances and codes of the City and . � \ <br /> Code;that I understand this is not a permit and work is not to start without a permit;and t o� \ <br /> in accordance with the approved plan. �(� <br /> vv�� <br /> APPLICANT'S SIGNATURE: DATE: <br /> t <br />