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Total Fee: $ / Date Received: <br /> Entered By: VoVx iVPermit#: <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) -OWNE-kOR CONTRACTOR <br /> JOB SITE ADDRESS: 1015 ISur,4 JA C2,P. 04Zoxs& f4,r.1, ZIP: 155 <br /> Will this beX <br /> aParade of Homes, Remodelers Showcase Home or other Display Home? <br /> F-1YesNo 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 /> NAME OF OWNER: Tim k KAz6x4 PHONE: (home) <br /> (work) 2 4S-0V, <br /> MAILING ADDRESS:,2661 C,461-,a CITY: ZIP: 56 <br /> CONTRACTOR: �ToNGL�1oo� L. • G. PHONE: <br /> CONTACT PERSON: l AAJ TO t.CAJo MOBILE/PAGER: 412-462-4000 <br /> MAILING ADDRESS: :71457 ,41A YzATA $t-VP. CITY: MIA_L4 e aLL-4 ZIP: 5.5-V6 <br /> STATE LICENSE: # 2 455 g 9 acs EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: At,c3",kip6r, 6& A_i PHONE: C(62- 4-j^8111 <br /> MAILING ADDRESS: 401 601- 4sT r CITY:161A?aAj-A ZIP: 56311 <br /> NAME: Jul{'e / 1,eft\3 p6P_- 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 permits! <br /> PROPOSED WORK(describe in detail): fui�D Aj gk.4 t'o ra rs fi erg=A TrArt tf t,'D <br /> STORIES: SQ.FEET OF EACH FLOOR: (!,.L.=Z1�Q�,1''Jptlal%2 K6��lPP6�'26Oc" <br /> NO. OF BEDROOMS: A_ GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 1 r�z5, QSCjS( <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: DATE: �'lBg' <br /> 31 <br />