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Total Fee: $ `, 033 . Date Received: <br /> Entered By: Permit#: z, V <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 R CONTRACTOR <br /> JOB SITE ADDRESS: 13I0 Vx'y t Ce_ ,D(0VVt y"UNZIP: 5:536f <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> [:] Yes [�(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 parkin)g is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: Mm' ' Tct4�loi y"... PHONE: (home) Z-y7Z-'059 Iq <br /> ' <br /> i (work)95Z-$97- 7$/W <br /> LA <br /> MAILING ADDRESS:13/0 ►�C, (ala cc CITY: OprOA0 ZIP: 5536 <br /> CONTRACTOR: H 6 V 0 f SO✓lS t,OASA, LAID•^1 LLC PHONE: 651 -271- '1757 <br /> CONTACT PERSON: mesler MOBILE/PAG 651-7,30- 07 gq <br /> MAILING ADDRESS: $360 tov\ V, - CITY: (J oi' ZIP: 551ZS <br /> STATE LICENSE: # Z000 6(01..3 EXPIRATION DATE: 3131/O 4 <br /> ARCHITECT/ENGINEER: A+o W\m I i Q v M U PHONE:952-873- 9311 <br /> MAILING ADDRESS: I V422 kOf v\ . CITY: B f/l( 7?4_'16ZIP: 00/ <br /> NAME: c>ec++ l?xb✓ Z REGISTRATION: # V4W( iP4_ _ <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail): 2 COW LgjdAIl 6✓1 4 Z <br /> 1q�,�/'OD1MS aMLa VXeLo S <br /> STORIES: Z SQ.FEET OF EACH FLOOR: h032 / 1/032- <br /> NO. OF <br /> 03Z 103ZNO. OF BEDROOMS: Z GARAGE STALLS: ATTACHED JE DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 125j 00D <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: S1516,5- <br /> 31 <br /> 1s/oS31 <br />