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S <br /> Total Fee: $ Ok Date Received: -9-/2-01 <br /> Entered By: Permit#: )q/ q5S <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 /> ----------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRALTO <br /> JOB SITE ADDRESS: �D-1 XS Za 4 I V�. Orov-61 ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑Yes [l 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: I.yo�Jv� COw�e�►ts� QS MAC ' PHONE: (home) 0X-` dtl'WOM <br /> 't 00%A46- 300 work) <br /> MAILING ADDRESS: �J� SdV t .,S CITY: "WwtP*%S ZIP: IS40 <br /> CONTRACTOR: &J6A^ CDWtaH1e5i USP PHONE: <br /> CONTACTPERSON: 6Q ^. 'err M LE _ER: (P d 9d -4439 <br /> MAILING ADDRESS: ASO Som t'h 10 S ' �s� : SZIP: SS 4D3 <br /> STATE LICENSE: # EXPIRATION DATE: <br /> e ARCHITECTNEER: �c<<A�eoo.'��''te �s`°J� &M PHONE: fo la."' 3 7 <br /> MAILING ADDRESS: 100yo ietmK O14. $ CITY: Mn"6" ZIP: $S 40 <br /> NAME: C M"' W%IKQX REGISTRATION: # <br /> It.46j %cow. t.5 >~o.s ev44. G;v► <br /> TYPE OF WORK: New Home Addition Accessory S�re <br /> Move Home Remodel/Alteration(i.e.: Siding,Windows) vv-is" <br /> "Am- earth movement may require MCWD Review and Permit! c8v^% JLCc <br /> PROPOSED WORK(describe in detail): 0ANIk, Jr WMLP <br /> �••�'f', In4tA4 aOr Sk.�we.A h# aea�r.,:bwa iv�ier`►o�c" a�.w.e 'J <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> -5000 <br /> Poo, <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <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: cS 077 <br /> 31 <br />