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R <br /> Total Fee: $ Date Received: Q '3 0-05— <br /> Entered By: Permit#: fiosq n <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)) OWNERITIOR CONTRACTOR <br /> JOB SITE ADDRESS: 305 I* Pooiq ZIP: y 5 3 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ONO If 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 /> (Pfe'N("I-) .Tn)eManStn dor <br /> NAME OF OWNER: Navaffe Con0.cegat,on of J'V� It. PHONE: (home) <br /> (work) 612-316 -7706 <br /> MAILING ADDRESS: / 7/7 jVoc e f Lune CITY: MoV.j ZIP: 15-3 6'/ <br /> CONTRACTOR: I�►C G< t9" PHONE:gQ R yo-�?u <br /> CONTACT PERSON: e MOBILE/PAGER: Same <br /> MAILING ADDRESS:/ <br /> l{ CITY: yh ZIP: SS D <br /> STATE LICENSE: # EXPIRATION DATE: 3/2 1 /06 <br /> ARCHITECT/ENGINEER: Ad L Ia Sk0 PHONE: <br /> MAILING ADDRESS: 0/0 I CITY: Aode ValleyZIP: $75-12y <br /> NAME: N; I Ala .5 KD REGIST ION: # .1300 3 <br /> TYPE OF WORK: New ✓ Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail): NM014 eek (`S�i`Aq N vrck L, - 'k <br /> ti eAICAf a ld bV A anb th().r an a "6 Icy b <br /> STORIES: i SQ.FEET OF EACH FLOOR: q�Do <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED IV il DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ (7_$ 7+00o) -a o la bor- <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 SIGNATURE: 7 DATE: Z-,2?- ,<- <br /> 31 <br />