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Total Fee: $ )14 I . bq Date Received: lo d.3 G(fri <br /> Entered By: L Permit#: A /0,/ <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 ONTRACTOR <br /> JOB SITE ADDRESS: / 7 70 We - F V aad ZIP: 3 51 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> Yes n 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:6 tIeVY( Pad-' vs ay) PHONE: (home) <br /> J (work) <br /> � <br /> MAILING ADDRESS: 17 70 W Favim, ►`-' CITY:Oft"° up: 5-53 !'o <br /> CONTRACTOR:(S-a W O VSe V is r firlieYS PHONE: 7b 3 -5-33_0 3 P- <br /> CONTACT PERSON: : o IBM ./PAGER: 1(d - <br /> MAILING ADDRESS:I4740 dile( ' € Iv CITY:/2,Abi4Sda be ZIP: 3 4Lo ?- <br /> STATE LICENSE: # d 3 g& EXPIRATION DATE: ORO/a-7 <br /> I( <br /> ARCHITECT/ENGINEER: tt (a 14v1 P PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition X, Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WOR (describe in detail) ►1 i, t V ; 'd keDO(41 . j / vecievl <br /> _able '11'00 eSCtali cy IIVI14✓00 vol (9hvev a? 1htr, 1(1eW) <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): S 13 0/ 000 <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: /06 DATE: l 3 <br /> • <br /> (5 Li a✓) Ir6 r;V )I "f ��)ct ) 11_,( I- ( ii. 1-'�� II�(cel t ( h �-� <br /> 31 <br /> WC(' CO _5 eI"�-i� /O/04 Jc)b . �� � gtye,5+l i.rs <br /> !) �',i,i <br />