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Total Fee: $ Date Received:-(,-/Y/O S/ <br /> Entered By: Permit#: A J 9V Y­5 <br /> ue vvAinki P�xw t — L- wee( A((,e (A o,�t — Pertovtl <br /> CITY OF ORONO - HUILITI—PERMIT APPLICATION al(((�wcr(C <br /> $sp, � <br /> All information must be submitted in full before plan review will be started. a <br /> (please print all information) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: ),`1 S W E�c4r�, 7s(�j c\_ , ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ 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 /> NAMEOF OWNER: PHONE: (home) <br /> (work)6t Z- /97--yoob <br /> MAILING ADDRESS: 60 S­41L Jdt=Sr, S,� 7-, ;",CITY: ,41 ,s ZIP: SS'YG3 <br /> CONTRACTOR: PHONE: (.F 1*-�-`M�--q(-)0v <br /> CONTACT PERSON: Y, MOBILE/PAGER: <br /> MAILINGADDRESS: Sp Soy \C S�. 5u'� 3cz'CITY: IM�ny�o rbc\iSZIP: SSS oC <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: 1 -ci -`lam 0 <br /> MAILING ADDRESS: Ce o lei ! , 5<nAe3cT0TY: M i h��o t`oliS ZIP: s S 0 <br /> NAME: IDa�v\ E S REGISTRATION: # ''i H%1 <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> S',�ev;or k _Move Home Remodel/Alteration(ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detail): Qts-r4�\wo r L-,—t'1'4 1 i C vrb 4rG o 4e-r) <br /> � 61C e (-iSir.q burl�� <br /> STORIES: C SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ G),� 1 & <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: DATE: CP o <br /> 31 <br />