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Total Fee: $ g 4;g0 Date Received: " /3 -DE <br /> Entered By: '-14 Permit#: %//y2Q6 <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 4 R CONTRACTOR <br /> JOB SITE ADDRESS: 67 70 ZL%7I 2 4 I, Ad LA-✓ ZIP: S . ^5 97 <br /> Will this beNisr_arade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yeso 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: &.f d 4.34'Jt'S PHONE: (home)qS'Z" e7 76"82 v) <br /> �L (work) <br /> MAILING ADDRESS: 970 1/i/4 y 24/4 h31G,� CITY: IA-'4l2S4 ZIP: S^S"3 cy/ <br /> CONTRACTOR ' . I . : <br /> CONTACT PERSON: -- _ MOBILE/PAGER: <br /> MAILING ADDRESS: —`1CI-T-Y4-_ ZIP: <br /> STATE LICENSE:- EXPIRATION DATE: <br /> ARCHITECT/ENH1NEE : PHONE: <br /> MAILING ADDRESS: c-- CITY: ZIP: <br /> NAME: REGI '.- I : # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding,Windows) <br /> Any earth movement mayrequire MCWD review and permits! <br /> PROPOSED WORK(describe in detail): i1 /d 101 )( 2 Q l /l4e h 4 rdj .(4.0d1 <br /> STORIES: ( SQ.FEET OF EACH FLOOR: 2 DG '6'56 j 'Is r <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /300 <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: _.,/ /°°144. ATE: L"4 <br /> 2 <br /> ` U <br /> (f> <br /> 31 <br />