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Total Fee: $ /j / `� /. 5eci Date Received: _ <br /> Entered By: Permit#: Z 00q-c. C 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) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 315 uoisr. 4.4 I.z PG ZIP: S <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes E No !fyes, 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: (AAil..t.i tivl I Y<< t vt PHONE: (home) --- <br /> (work) <br /> MAILING ADDRESS: "315 0^'=`t-b44-a ALA- CITY: -% ) ZIP: <br /> CONTRACTOR: (,J Jr PHONE:651 4t.-b-Za <br /> CONTACT PERSON:Jif 1 MOBILE/PAGER: C 1 Z -5(05-44Z I <br /> MAILING ADDRESS: i.'7c "i% -S1 -3(47 CITY: P.kO+— ZIP:— ler* <br /> STATE LICENSE: #24402:5- 5 5 EXPIRATION DATE: 'S I Id 9- <br /> ARCHITECT/ENGINEER:P NJ PHONE:(t6 Z -cs 2s0c7.- <br /> MAILING ADDRESS: 117r C i(W-/"3t41 CITY: 5'T IIID.. ZIP: 55/o9 <br /> NAME: j J Mkgc.4.I i i' r REGISTRATION: # pc) <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration(ie: Siding,Windows) yG <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail):e:44ANc E L .i N <br /> c ARE PLJ'c-� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 5o Gr7 <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:c2,..41Q111-1DATE: //z /61.9 <br /> 31 <br />