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, ii\ 6 <br /> \ <br /> °..,,tiN <br /> n <br /> .Total Fee: $ '`1� CO i V� Date Received: ,7 , 1 -1/0 <br /> Entered By: f bl C;�W1 l Permit#: t I 1 i 2- <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: 1/6 We a( L-lf C W. Ciro o ZIP: 5 5Sc, <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes - 4o Ifyes, 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 /> i '' !�n / <br /> NAME OF OWNER: USN t- S itSCUP,, t-i d�TN�co PHONE: (home)(6/2 J l 3 2S-77•30 <br /> (work) <br /> MAILING ADDRESS: SAG JU.& CITY: ZIP: <br /> CONTRACTOR: kVAL FA./wO o.b /;r d PHONE:(5.Z)9 let.2 072— <br /> CONTACT PERSON: 1 i Mille,r MOBILE/PAG R:�(9�" ) . -• 3b <br /> / o(o <br /> MAILING ADDRESS: !05�'5 Ede 'va Je �Qlv o) CITY: t-?r)Pat/h/ZIP: 5539C, <br /> STATE LICENSE: # 30.2_ EXPIRATION DATE: 3. 3 1.o R <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) ;V <br /> PROP(,)SED WORK(describe in detail): if\rSK� oc t c L - ,�-e�— -- <br /> OA e U-L cii--vt.s •:,e_--i rrr‘v",i ' pc ce i oo rr1c <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ` W:::)/MO <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 wi the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a perm t and work is nogo start without a permit;and that the work will be <br /> in accordance with the approved • an. <br /> 1r it <br /> APPLICANT'S SIGNAT441k —7 DATE: i6— <br /> 31 <br />