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p <br /> Total Fee: $ / 1.5 Date Received: 7/i % g <br /> Entered By: `4, Permit l ap ©d 0lc" <br /> PCITY 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) )R°WNER <br /> CONTRACTOR <br /> JOB SITE ADDRESS: UGAI_ Lam`. Al ZIP: SS S <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> Yes [54-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: -f Ic3lJ A ca S V 6'g-7" PHONE: (home) 552—4/73—Y 41.13 <br /> Cc-&- LJ-' ti L,G rV (work) <br /> MAILING ADDRESS: CITY: Ovtoio ZIP: 3 , <br /> �� i\"°"" COI*RACTOR: F55.7""t v,7r�s PHONE:(,7G S-64-2-4 10 <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: 2.26 Crtecrnz awc '141-NS' CITY: florrALa ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> • <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 /> PROPOSEDn ' WORK(describe in detail): pd ft Arzy `7,s s F�.2 l.J x;�,,Q c. <br /> STORIES: I SQ.FEET OF EACH FLOOR: 3 tE 4-3 4C` S a zT f A <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED 3 243 <br /> — sc.5-. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <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: ./ t • / t DATE: 7 It/V r <br /> 31 ,q p,ry✓r_d +7 r/t i I 08 <br /> ti,a- ON PL714,t r— C A-t 43(1( `vtey7t 42 i NSP . w�^�^� r-'& �S . W ���{4�•23a7 <br />