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ala� L-O,/ <br /> Total Fee: $ J-6e)z ,66 Date Received: 1 <br /> Entered By: Permit#: Z <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 CONTRACTOR A1'?g7'/rCGT <br /> .IOB SITE ADDRESS: ?6e7 wqyzfl Tit 13L, V/0 II/ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> [:] Yes IVNo 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: 5EFA)S/t t2 0Vf PHONE: (home) <br /> (work) ?FZ <br /> MAILING ADDRESS: UO ('44(,50IU T0u/ CITY: M%g + ZIP: <br /> CONTRACTOR: R_9C r)tU Ce Z,0 oks+T 1O/U PHONE: _ <br /> CONTACT PERSON: Qe=gg Y j,3 RA i DN MOBILE/PAGER: <br /> MAILING ADDRESS: 3?5cn A NN,+i90 t,l S wR Y CITY: Pe_YA40u7'ff ZIP: S- Yy7 <br /> STATE LICENSE: # EXPIRATION DATE: <br /> CLrT$ 0'1&2,-6W 6762dl- HCS PAUL- 57RdT/ie7G. <br /> ARCHITECT/ENGINEER: fi igf Qtt r C7 S (N C- PHONE: 9.S.2 -,?SV- <br /> MAILING ADDRESS: ?%C) /V)Prf2 jC6-1 (2(, F92 CITY: GOES ?kA(re6zip: 5-r3 qy <br /> NAME: PA c)i_ S7g 0 i t--rj--j REGISTRATION: # / ,S ZZ 9 <br /> TYPE OF WORK: New Home 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): tiC Gc) L/FS 4Fx rt-R101e /W tC��ldl2, <br /> RE_M Q 0 6 Z,I A),'-=7 <br /> STORIES: / (/M CL Z ) SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 6-6Zt wU <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: I <br /> 31 <br />