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Total Fee: $ U �O i� v"- Date Received: —494-- <br /> Entered <br /> -O4- <br /> Entered By: � Permit#: <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) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 2 209 u'c ks �n �f es_ZIP: 5Y3 3/ <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> [:] Yes Id 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 /> NAME OF OWNER: OW-14m 1 SUE &,net-r—Y PHONE: (home) SZ ? 7 <br /> q /� / (work) 8 • 2 Z <br /> MAILING ADDRESS: 21,o9 W.i Lmi_S Pb er L Alr_CITY: C/n/ZcA)c) ZIP: S:5-3-31 <br /> CONTRACTOR: 1�n A VE_ L41 ES PHONE: 0 Z 25-0• 2100 <br /> CONTACTPERSON: _Joi4NMOBILE/PAGER: _ ME <br /> MAILING ADDRESS: Z 61 Q t,+Sco 49t. QD. CITY: IAAYZA _ZIP: S'S <br /> STATE LICENSE: # 2 OS 7 4�_6 0(o EXPIRATION DATE: 3 3/ • 2��7 <br /> ARCHITECT/ENGINEER: 4 4i f� V41 re_ori L Wlcrl PHONE: /Z• g�9•rdZ$I <br /> MAILINADDRESS: .Sb Z V ire. CITY: 11,44/E raNg,¢ ZIP: SS34S' <br /> NAME: #_ Nd REGISTRATION: # /ALT <br /> Addition Accessory Structure <br /> Remodel/Alteration (ie: Siding, Windows) _ <br /> J7-IgE. lklrC410,Q QcM�OEL. ,yEt� DtSi4N <br /> If- '<4'2/1GE <br /> /fir l ✓' BCH FLOOR:&E-M /gkn.t-2 , QP: •109 <br /> � � (T PALLS: ATTACHED_,K DETACHED_ <br /> srr UGC' )N(excluding land): $ ell 0w <br /> I Jao !► e �- that the information above is complete and accurate; <br /> tl I -✓tS (_ '�B Ce -.es and codes of the City and with the State Building <br /> C C(11'lS?Il'y lot to start w• hout a permit;and that the work will be <br /> in <br /> Al_.....rev l''S SIGNATURE: DATE: A <br /> 31 <br />