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Total Fee: $ S�-!D—O <br /> Date Received: 7 <br /> Entered By: Permit#: A.1 09 J <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 O CONTRACTOR <br /> JOB SITE ADDRESS: 31 S t4Tei4.,,a RJ_ ZIP: J'-13S-cJ <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes [j[N0 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: 7 JJ d- t'�I: L ��_ �t.„� PHONE: (home) 7d - Y 79 41,dp <br /> (work) <br /> MAILING ADDRESS: 15'70V ,Sv+L Aje— CITY: !�� ZIP: s y d' <br /> CONTRACTOR: D , 1 fr PHONE: gSa-5 3S• �y�a <br /> CONTACT PERSON: MOBILE/PAGER: 6 I -3q6 -s U I <br /> MAILING ADDRESS:Sfai L:^r--I r► Or. S...4e I g!d CITY: 6j,^f% ZIP:-Tcw <br /> STATE LICENSE: # 2o6 V EXPIRATION DATE: 3/3/ 16 fe <br /> ARCHITECT/ENGINEER: PC 4", PHONE: aq,� <br /> MAILING ADDRESS: 2a 12 1 CITY:A.w,t,k ZIP: SSS <br /> NAME: Fs k. tt t- (rra-ld REGISTRATION: # <br /> TYPE OF WORK: New Home k Addition Accessory Structure <br /> Move Home Remodel/Alteration(ie: Siding,Windows) <br /> Any earth movement may r quire MCWD review and permits! <br /> PROPOSED WORK(describe in detail): ►V 1. - - <br /> STORIES: I � SQ.FEET OF EACH FLOOR: L ;x i I 3600 .,1 tid•. l 3506 vl <br /> NO.OF BEDROOMS:_� GARAGE STALLS: ATT& 'HED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 1, ,Soo 000 <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: �.,�. L'L DATE: s Y 0 7 <br /> 31 <br />