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ti <br /> 0� <br /> Total Fee: $ 31-19. ZS 3-�, Date Received: 3 —/1- <br /> Entered By: Permit#: 119' 25 <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) OWNE' I R CONTRACTOR <br /> JOB SITE ADDRESS: 77 7 V ) w S r 71 \ ZIP: 5-536) <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No ,lfyes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will he required unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: gr;'0..,1 Tu.r\,eIA)1& PHONE: (home) 1.1-J75 /3!S <br /> (work) 9 ?77.)6)-03 <br /> MAILING ADDRESS: 7/a1 wrA.Vrn 14vc . CITY: ZIP: 5519-3 <br /> CONTRACTOR: S PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: Pb YQ — PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration(ie: Siding, Windows) )C <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): Re o Z2 f a 'rc 5 r-Sf <br /> lr ;n e r..✓S R e e_fi. T' / n e•,� Filtr,s �►� � r-7'ti 1 epi <br /> Fie orv:e 'rlth-1>o <br /> STORIES: 4.1 SQ.FEET OF EACH FLOOR: S5.s <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATTACHED 1 DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): S _471-C.) <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: ..�~//I , �� .� DATE: 3J/,/ f <br /> 31 <br /> l d 9891 'ON JNIlNI21d1/NOSIHD 'M Wd9l Zl 8002 '6L '�bW <br />