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Total Fee: $ 905 76 Date Received: 4/....4-4) <br /> Entered By: J'Yl4 . Permit#: / ,a>3 g <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 tonne) OWNER OR CONTRACTOR --u1 „ 5 <br /> Vv (vii <br /> JOB SITE ADDRESS: 01®60 , �� (�� 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 t9 <br /> parking is(available.. Non-permitted events will not be allowed. <br /> NAME OF OWNER: A wt b�tf' 0 0 6C,S (J1 ;j C e PHONE: (home)/001 <br /> (work) <br /> MAILING ADDRESS:� 0,13 Oic 6 7(0 CITY: (A)rky t,tiN,, ZIP: 6-5-,3q <br /> CONTRACTOR: n-Pev$ Ot Le_ i G PHONE: 6 /c - S`- <br /> CONTACT PERSON: l) S._ t. a\ o e r MOBILE/PAGER: i / 2 — gO d 7 <br /> MAILING ADDRESS: p, t e jC 7() CITY: (J/c,y 'u!_n ZIP: S`s--3q <br /> STATE LICENSE: # EXPIRATION DATE: <br /> • <br /> ARCHITECT/ENGINEER: C,4 Vl rn ((A((So PHONE: /e,1 —� 2S, ?q <br /> MAILING ADDRESS: T , 6 7 p 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(describ in de�taif) e r ,� AJ / V'0 <br /> - CD �YV1 ✓( t1,�� Q;�'�(L p 7' <br /> STORIES: SQ.FEET OF EACH FLOOR: 9/ ( 0 0 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ C e d, <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 planes / / <br /> APPLICANT'S SIGNATURE: f/� DATE: I a <br /> 31 <br />