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LAArt <br /> I2 -I-Ob <br /> Total Fee: $ i VC/ Date Received: /1-'62-19 -.06 <br /> Entered By: 1i= Permit#: A-105 7 7 <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: 1 o e' --t-dA.1-1.0 A--- ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> n Yes y. 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: uN«i"aryt ,mss-►-, /'v / f tr f/v6— PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: I.19(00 7*yN k-tw4- ,12,.0. CITY: O/2•a' ZIP: <br /> CONTRACTOR: , Gz L PHONE: ,6/66 <br /> CONTACT PERSON: Rick cam. -. a,.) MOBILE/PAGER: (942_ s-o if 00 i <br /> MAILING ADDRESS: (1/y 2 't'0 s #/6$ CITY: f'X C Ec1/ov ZIP: _ ..5"--e.3/ <br /> STATE LICENSE: # e-Ar '=rEXPIRATION DATE: 3 lei/d <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) <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detail): 4.0-a .$-c A '' y .4-4 <br /> STORIES: -- SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: -- GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /, o cro <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/za/a <br /> 31 <br />