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i <br />Total Fee: $ <br />Entered By: <br />Date Received: ^ -~7" <br />Permit ff: _______ <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: TT>JKAV\/A gOAD ZIP: <br />NAME OF OWNER: TEMPLE ISRAEL, _ PHONE: (hor^) <br />(work) <br />MAILING ADDRESS: 7V.U FMFP<aM AVE.S.CITY: MIKIMEAFDUSZIP: S5^ <br />CONTRACTOR: niVFgsiFign PHONE: <br />CONTACT PERSON: DAVP SrHAFFgg. MOBILE/PAGER: 4>l^ ~ <br />mailing ADDRESS: ^OlD HWVJ_______ClTY:Cr.lOO& PAEUZIP: SStfUf <br />STATE LICENSE: » 3faMI <br />ARCHITECT/ENGINEER: WAISH BKttDP PHONE: //.IT. <br />MAILING ADDRESS: q7f>f;FyriMn AVE. S. CITY: MWJM^RilS ZIP: 'SSMBL. <br />NAME: MVHAEL SHIELDS___________REGISTRATION» 12MBO------^---- <br />Addition •T\TE OF WORK: New X <br />Move Remodel/Alteration <br />Accessory Structure <br />Land Alteration <br />PROPOSED W'ORK {describe in detail)'. MEW SlADWEE / TPl LtiT—WCJLjTV <br />l=pg. C/VMP T£EQ <br />STORIES:__I SQ. FEET OF EACH FLOOR: <br />NO. OF BEDROOMS:GARAGE STALLS: ATT. <br />I^OQO <br />DET. <br />ESTIMATED CONSTRUCTION VALUATION (excluding land): S__lOPiQQO: <br />I hereby apply for a building permit and I acknowledge that the information above is complete and <br />accurate; that the work will be in conformance with the ordinances and codes of the City and wit <br />the State Building Code; that I understand this is not a permit and work is not to start without a <br />permit; and that the work will be in ac^dance with ^ app^ed plan. <br />APPLICANT'S SIGNATURE: Aya^'^c <br />/ <br />D.ATE: ^/^/eri> <br />biOTE! Parade of Homes events require separate permit approval by Police Department and <br />City Council 60 days prior to the event. Non-permitted events will not be allowed.