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4 <br /> V (6°1 <br /> A, <br /> Total Fee: $ J�$pv o Date Received: 7-16? -0-7 <br /> Entered By: (�,lV1i"A. Permit#: 1 / - 3 <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: )6S-5 Se;,..1 z f/ . it i ZIP: 1.5-3 S'/ <br /> Will this beirade of Homes,Remodelers Showcase Home or other Display Home? <br /> 11] Yes 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: 11 U� ) 11Gc r 4.e,1 f PHONE: (home)i<2 9Z/it 0(/// <br /> (work) <br /> MAILING ADDRESS: CITY: 9f ZIP: <br /> CONTRACTOR: Z y► L 0 n.S/ 4A C PHONE:-‘,123 C, ?l%O <br /> CONTACT PERSON: L��J-,,i-7 elrsiir s n MOBILE/PAGER:�j/'1 3‘,6 70/0 <br /> MAILING ADDRESS: 74 9 fi/eb4 /4,' i7 CITY:Gdfir w,4. ZIP: `?3 <br /> STATE LICENSE: # `'3.5 3 4/ EXPIRATION DATE: ? — 3/ —O <br /> ARCHITECT/ENGINEER: . PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home sc.4. Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): <br /> �j <br /> STORIES: SQ.FEET OF EACH FLOOR: / Q� 7 LP 25 <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <br /> 4:1?-4‘2� 0 O G7 "."-- <br /> I <br /> � <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. 2 <br /> APPLICANT'S SIGNATU' ° L DATE: ? _2 T —31 <br />