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• <br /> Total Fee: $ / 1L 71.7IO Date Received: 2,4-0 o" <br /> Entered By: Permit#: ,9//998 <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) OWNER CONTRACTOR <br /> JOB SITE ADDRESS: / co t)j /0/1)ol_S ZIP: 03 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes VI,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. <br /> /lc, <br /> Non permitted events will not be allowed <br /> NAME OF OWNER:(1'? /4i7 d Si4�n ih Aoa.c1i HONE: (home) n-02 - -- �l4 7 <br /> work) / -6605---r47 <br /> - g0 7 <br /> MAILING ADDRESS: /,)00 (Jt /chvASt CITY: DAM/ 0 ( ZIP: ,X536 <br /> CONTRACTOR: go /,,r Lv,, J Fs PHONE: �/ ?,C7-,„2-006- <br /> CONTACT PERSON: --r-6- <br /> - b n y' L0,-) MOBILE/PAGER: _5 <br /> PHONE: <br /> 6 <br /> MAILING ADDRESS: _3 4,0 /40 2 At-6 G44-nc(ITY: ©Ao n o ZIP: 4..1"-5134 V <br /> STATE LICENSE: # (lO/9a? w EXPIRATION DATE: /en/zc/, a2 00 7 <br /> ARCHITECT/ENGINEER: 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) X <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): AlEfi 9(e 7</i«En/ /9--A/i) Lø'- <br /> 8( c 5 -- 0,_.5 i L c - 14-- - oo e .30 E- i/ i ' 'C- <br /> Izr o t)t5(-, Lc e ff)-! V p Lc Ail 51 ikl6, , <br /> STORIES: / SQ.FEET OF EACH FLOOR: c>2 V60 <br /> NO. OF BEDROOMS: _ GARAGE STALLS: ATTACHED ,3 DETACHED_ <br /> 66' <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 76-;0 0r) <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: V.:=9.0•1/0e' <br /> 31 <br />