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JUN-28-2006(WED) 09: 08 P. 001/002 <br /> Total Fee: S 4�:-0 .9G Date Received: 4 i 7 <br /> Entered By: L4 hermit#• 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 information) <br /> THE APPLICANT IS: (circle one) 6WNER R CONTRACTOR <br /> JOB SITE ADDRESS: y�2o -1'on4Go til►es.� �-c.►�12 ZIP: 5536 y , <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑Yes XNo 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 /> sujftclent on-slie parking Is available. Non permitred events will not be allowed <br /> NAMEOF OWNER: T 0o Ca u ryt� ua PRONE,: (home) o03- <br /> (work) qs2 Zzl.CyCq <br /> MAILING ADDRESS: 462a LC-r2 CITY: Gre'ia ZIP: M✓U <br /> CONTRACTOR: -1--00 Coo r►na.EN PHONE: 952. 2zl.6 y6 y <br /> CONTACT PE1tSON: MOBILE/PAGER: <br /> MAILING ADDRESS: qG'Q jz Ah .kw Lmd, CITY: Oro^m ZIP: N1 <br /> STATE LICENSE: # 411 u4 EXPIRATION DATE: I q <br /> ARCHITECT/ENGINEER: O PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <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 permitzt <br /> PROPOSED WORK(describe in detail): <br /> (2ao1,�2 f�cof .� Sic��A <br /> STORIES: Z- SQ.FEET OF EACH FLOOR:- <br /> NO. OF <br /> LOOR:NO. OF BEDROOMS: GARAGE STALLS: ATTACHED X DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): S 3Z;o0a <br /> I hereby apply for a building permit and I acknowledge that the info tatitin above is complete and accurate; <br /> that the work will be in conformance with the ordinances es of the City and with the State Building <br /> Code;that I understand this is not a permit and wo to s without a permit;and that the work will be <br /> in sccordancc with the approved plan. <br /> APPLICANT'S SIGNA DATE: ` X06 <br /> v <br /> 31 <br />