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ti <br /> a <br /> Total Fee: $ / Date Received: 10- e-c2 7 <br /> Entered By: At - 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: Y720 /,vu,le 702 /Pda 4/ ZIP: <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 parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: MIS V eg/ANIL inek y PHONE: (home) 763' " I- l/ <br /> (work) <br /> MAILING ADDRESS: 1720 W'1OQY 1 LOGS CITY: 0,106 ZIP: <br /> CONTRACTOR: Pa ('inn2 PHONE: 6,2 2,a- t <br /> CONTACT PERSON: "Al /,l{ty]n MOBILE/PAGER: 6, 2-'711-21 0 <br /> MAILING ADDRESS: 3S 73 gmeinejt S vr ur2 CITY: /31.,li Lice ZIP: tr3S-r <br /> STATE LICENSE: # EXPIRATION DATE: N 7-07 <br /> ARCHITECT/ENGINEER: 70,i- XU l2 PHONE: 6,2-2I0 ((13 <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): -Mar -1 pi? — Y-essa(.t w,,-y, 115,d ie taA00 - t1'7)'-elle-- <br /> STORIES: <br /> 1-i,.a/STORIES: 2 SQ.FEET OF EACH FLOOR: /'/DU ? <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED '( DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ t y t DD o <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 approve. . <br /> APPLICANT'S SIGNATURE: � ; DATE: /O//67/G7 <br /> r <br /> 31 <br />