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I <br /> C� 8 g•DS <br /> Total Fee: $ 416 002. Date Received: -ol7-OSS <br /> Entered By: Permit#: Q <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 CONTRACTOR <br /> JOB SITE ADDRESS: 1-17YO 7�`„t� �/,F6�� Lane ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes X No 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 /> Ceti- &)z -3(o0-3ZoQ <br /> NAME OF OWNER: lC't 9Ag it r PHONE: (home)jjp- -q7 Z-9 Z0-7 <br /> (work) 7l0.3 — 9 72-8 707 <br /> MAILING ADDRESS: Z-�Ae �aduand 1? l) CITY: MyIPI 191,g; ✓ZIP: SS3s, <br /> CONTRACTOR: �A er4 n YX11I-d, 1_ L-(' PHONE: 71?- 9'72-X707 <br /> CONTACT PERSON: IW,'ke •$,d. e.-- MOBILE/PAGER: 61Z -_3(r0_3 <br /> MAILING ADDRESS: 3 74, &n,oc4a,7d p J> CITY: A ltgc ZIP: 55'3S5 <br /> STATE LICENSE: # 2_OS Z -el378 EXPIRATION DATE: 3 - Zooms <br /> ARCHITECT/ENGINEER: iV u.-ph y fi,�je A�Srne. J9e5;a;% PHONE: <br /> MAILING ADDRESS: Z TTJ;Wi5/'On S T. LS�fi te-Z�CITY: KyfjCa L o ZIP: 5531 3 <br /> NAME: -F� h ✓ REGISTRATION: # <br /> TYPE OF WORK: New ✓. Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail): 0 Z 54-c>ry se <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: _-4/ GARAGE STALLS: ATTACHED 3 DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3 <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 SIGNATUREC-� , fw DATE: 7- ?-G--D5 <br /> I <br /> S��UC'�t//Q L �7-j /rlee r E�ICkSer� RO�G1 � ASSOL►a`k2,S <br /> phone : (051, 2 Sl` 75 711 <br />