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\\/ <br /> ' )9 Cry , <br /> Total Fee: $ % , l f,-Iic c Da Received: <br /> Entered By: ��y� Permit#: <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 OR6NTRACTO <br /> JOB SITE ADDRESS: 4,e we 6eR /ti//S .fat/ ZIP: c5 3.5-47 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes XNo 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: 5-74-g,M /Wee 3 PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: /9/4j ealMe'Z 14 at CITY: e,40..P/e, ZIP:3533-4 <br /> CONTRACTOR: ID R Ik )c—e• her oAl _DuC PHONE: %a2- 3 ?-"/77 <br /> CONTACT PERSON: 1jR4..,r+ e-phens.e,ot MOBILE/PAGER: <br /> MAILING ADDRESS: 'Gb�S�.tw.�FE �� CITY: //ka i?A ZIP:;j"c #✓' <br /> STATE LICENSE: # pj 2 y�-q EXPIRATION DATE: a--3I o <br /> ARCHITECT/ENGINEER:lioxrr✓S4/ei/awf /412C4 PHONE: 81502- yea/ , 35- <br /> MAILING ADDRESS: 3 it oo W#k2)aw.✓ RD CITY: Oxcw o ZIP: s3-3s4„. <br /> NAME: REGGIISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding,Windows) A/ <br /> PROPOSED WORK(describe in detail): ,t/es 1 �'rx t e 4,11 07, ,io /ie,4J <br /> STORIES: a SQ.FEET OF EACH FLOOR: //AM /i SIM A 6"A-vie <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED 3 DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ c2�p40 <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 /> APPLICANTS SIGNATURE: n�j/z/\ DATE: 11 8-05- <br /> 31 <br />