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Total Fee: $ Date Received: //D//b1S <br /> Entered By: Permit#: Q0O8- C)00(25 <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: (20 r5-- [,v 4s //,//S /?. ZIP: ' <br /> Will this b a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ElYes 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:-**'..---*/,,AA � VAN SwAjr_r 1%( PHONE: (home)5Sa.1/13• RR33 <br /> (work)4/Z• Zoo' of <br /> MAILING ADDRESS: I:20 9 Rb CITY: (7LN0 ZIP: 51-/01 <br /> CONTRACTOR /N /I wt S hewdsA..Dxrssm/C C ,PHONE:‘/Z-363-2s" ,s <br /> CONTACT PERSON: 7%m ////f S MOBILE/PAGER: j _345--A5-Vs-- <br /> MAILING ADDRESS: q rCe Rj. 4 CITY: l <br /> STATE LICENSE: # 2....02-33414/ EXPIRATION DA E: <br /> ARCHITECT/ENGINEER: 1 iv4&t//l7t 4-5 PHONE:‘s j- 9-?o/ <br /> MAILING ADDRESS: IC 92 £ - '$44,j j CITY: f /ev� ZIP: 5 "/p f <br /> NAME: LFA i4tt y�'Z . [a.o <br /> REGISTRATION: # <br /> TYPE OF WORK: New Home Addition \ Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) Nsk <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): jilisytt Sztaivi. lorif sLMoiP'c. /14'&14, <br /> Latc_.1 w/ sr. e,c 3As 04- i1/o u, lU /y'k. coil. RDpn oN <br /> STORIES: Z SQ.FEET OF EACH FLOOR: 33I " <br /> NO. OF BEDROOMS: 1 GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ZQj ��, o0 <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 p - <br /> APPLICANT'S SIGNATURE: i . DATE: -7 "/wr <br /> Pr <br /> 31 <br />