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s <br /> o -7 <br /> Total Fee: $ Date Received: a- <br /> Entered By: %' Permit#: e+6q,6/o2---1 <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) ONTRACTOR <br /> i l OWNER O C <br /> JOB SITE ADDRESS: 114 5 W T N D M ERE R v ZIP: ?J c7l <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes R No Ifyes, 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 OWER: STEd t 4- G E n"I-rJ 1 L l_ PHONE: (home) q 51-2 5'8- O N p <br /> (work) <br /> MAILING ADDRESS: 1) S W YN ID M M E 2A CITY: 0 kWJ 0 ZIP: S 5 3 Ci <br /> CONTRACTOR: J U M AT10 -T-, L-LC-- PHONE: qS:) -9 3 )-')`l 19- <br /> CONTACT PERSON: J u p p 5T14TT1N E- MOBILE/PAGER: (o )z -22)- N )3 <br /> MAILING ADDRESS: SZ 0 0 W i L L S o nl 1201t4 CITY: ED)N A ZIP: 5-5- z V <br /> STATE LICENSE: #--Z 0 2 7 3 7 2-9' EXPIRATION DATE: 313 1 D <br /> ARCHITECT/ENGINEER: EPLIC 814AW&VS m�rtSO"1 M PHONE: YaN�d� 012 -82:�7825 <br /> MAILING ADDRESS: q 0 1 N Tr--S-+ 4t W CITY: M121r5 ZIP: 573-�V/ <br /> NAME: L121( 6y 60?S 1 P. 0. REGISTRATION: # 2 6 `J 10 <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home m d / er tion ie: Siding, Windows) 5jru(_jkg# . <br /> 2t*,R-- <br /> PROPOSED WORK(describe in detail): StRU CT N JEPr L- 12 C PAF/)2 - <br /> �x�Sn Ny �2�rvilNGa-� a��9n15. mix W>'+ri:�2 <br /> 0f-M1r&C e'Ay5L-j 81/ Sn2r�cnrnrr� <br /> 7 Nn/o�ns�2►a� <br /> STORIES: ? SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED�_ DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 25,0 00 <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 p an. <br /> APPLICANT'S SIGNATURE: a DATE: Z ZOZzLp-z <br /> 31 <br />