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4(j <br /> Total Fee: $ / / 213 `� ' Date Received: <br /> Entered By: Permit#: /C`) <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 ORCONTRACTO10 <br /> JOB SITE ADDRESS: 10&O 'MA ka. wcA. Pui , ZIP: 5 5 3 5 G <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> nYes XI 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: W ; A A L A n s i r1q PHONE: (home)/5,2.- 4/73-93,23 <br /> (work) 95,1-943- 40113 <br /> MAILING ADDRESS: 7'to w; 6 uJ t- S CITY: Wayzd+-ck ZIP: 55 39 I <br /> CONTRACTOR: W -e Ko rw N PHONE: 9 5a-H 7 y-616'2 <br /> CONTACT PERSON: R;.k- ! L►eery MOBILE/PAGER: 9z01.-2 9a a )9" <br /> MAILING ADDRESS: aqd swid5 CITY: Eacc v(sior- ZIP: 5533/ <br /> STATE LICENSE: # 02o3909D G EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: Sk e. 6rafi've 4-"PHONE: 6/0Z-d76- 7575 <br /> MAILING ADDRESS: 2,01.2. Srui %A Rp, w CITY: 1"11hnefon kik ZIP: S5305 <br /> NAME: Pe.--ems- E 5 k..r eke REGISTRATION: # <br /> TYPE OF WORK: New X Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail): New ko m e -i-o b€ b,,‘, <br /> STORIES: SQ.FEET OF EACH FLOOR: 35'25 5F a 993 5F ►of 5 5 F <br /> NO. OF BEDROOMS: 5 GARAGE STALLS: ATTACHED 3 DETACHED o <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /, 1'00 t opo <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: ...el, DATE: 3/23 <br /> 31 <br />