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r kuT 1 :•' PHONE NO. May. 07 2008 10:33AM P2 <br /> a � <br /> Total Fee: Date Received• <br /> Entered 13y: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ,All information must be submitted iu full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (Circle one) (OWNS OR CONTRACTOR <br /> JOB SITE ADDRESS: 3765- INa t' ZIP: �S <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes FANo Ifyes,a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event, Shuttle bus service will he required unless applicant demonstrates <br /> sufficient on-.site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �_ %��CY ��y'�� PHONE: (home)9S2- '/73 9"moi 3 <br /> (work) 412 �6 4.4-6 $S' <br /> MAILING ADDRESS: 3765 W 4�rr4ow h P'?CITY: era+D ZIP: }S"36S1- <br /> CONTRACTOR: <br /> S1CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE,: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: M*'M1Vrib"6' h PRONE: ;�Yyp <br /> MAILING ADDRESS: 20 w 78'-11 gf- CITY: Cha-.L.0-un ZIP: ss 34 <br /> NAME: 6�Y v'C REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Homee-moRtAlgi'd ton �idm <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in deterP-`,417 !e, )/e4-r. c4 b.',,T45, T A'r w <br /> Wew e-jrtkrTw, ovr W IS -40P Coro I-ra s e rw WI-V' J <br /> STORIES: SQ.FEET OF EACH FLOOR: O O <br /> NO.OF BEDROOMS:_� GARAGE STALLS: ATTACHED DETACHED a i' <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3-4;`j dPw o <br /> I hereby apply for a building permit and I acknowledge that the infibi miation 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. 1 <br /> APPLICANT'S SIGNATURE.: !�G�-�.��C DATE: S - 7� a S <br /> 31 <br />