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L. <br /> Total Fee: $ / (O(v ' Date Received: 4 I c)38 <br /> Entered By: fior "vrY1(- /d/, Permit#: 910-7/CC, <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: 7 2 2 Q (--‘)..L.?-v- ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> Yes n No !fyes, 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: 1300, d- L-1.1 y 1 PHONE: (home) �-s� -y 71 .2 7 b 2 <br /> (work) <br /> MAILING ADDRESS: y� d �'"` fa CITY: or on 0 ZIP: <br /> CONTRACTOR: YL s l-L L PHONE: 642 - .2 rf 0 - <br /> CONTACT PERSON: Tr,.c l-a Ic-c MOBILE/PAGER: <br /> MAILING ADDRESS: dr/q '-Ziff, St. CITY: /%1-10/c. f/-,:k ZIP: 3-Y-3., 5 <br /> STATE LICENSE: # 2 OS-A/L(3 7 EXPIRATION DATE: 3 - 3 I - a <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: 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): gjcl4 e G. sus 4r t c•••%., <br /> 'e 0 ri v <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED k <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): S S Oo — <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: 111r, / DATE: <br /> 31 <br />