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V <br /> Total Fee: $ Date Received: (� <br /> Entered By: (9/14... Permit#: A (.)j QC' <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> i J 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 ' OR CONTRACTOR <br /> JOB SITE ADDRESS: tO0 j W l L51 .T 12-Ai L ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> 0 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: 1042 PRI PL V l (N C. PHONE: (home) <br /> (wo <br /> MAILING ADDRESS: (pIN, Y�Z S( Com: (tV$ ZIP: <br /> Z? _ Z°1Z.2��{S <br /> CONTRACTOR: (OS P(Z.( L-7 t PHONE: <br /> CONTACT PERSON: 1 124SE.N LUND MOBILE/PAGER:9aZ'Zc1 L X145 <br /> MAILING ADDRESS: (p21- IN %7A05T- CITY:CAI A$1611 ZIP: -j(.¢) <br /> STATE LICENSE: # Zp 2 32,0EXPIRATION DATE: $j I I()to <br /> ARCHITECT/ENGINEER: b ,`(<N) tA,(., PHONE: <br /> MAILING ADDRESS: 9 j(Y) LTI MOTW rr w CITY: 771.4411V. ZIP: qjz1.49 <br /> NAME: 1-eg,g.1 REGISTRATION: # <br /> TYPE OF WORK: New X Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail): ?)U I LI'W(� ejIN(AIL <br /> STORIES: Z SQ.FEET OF EACH FLOOR: I`'1= 1,404 Z"`' q-67 <br /> NO. OF BEDROOMS: 4 GARAGE STALLS: ATTACHED 3 DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 4100 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 SIGNATU DATE: 7-z-(0-c- <br /> 3131 <br />