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A • <br /> Total Fee: . � /� � %�3 � ��`�J Date Received: �'Z�'C1` <br /> Entered By. �l�v� �'C7 Permit#. �] <br /> ,`�;����; �, <br /> � ��i�.`t <br /> CITY OF ORONO - BUILDING PERMTT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all infor�nation) <br /> -------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: S�S t�1 ocZrl-1 FE�nI�JN�.E R.L� ZIP: �5'J�t 1 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No If yes, n special event perm.it is rec�uired witli Police Depart»ze�zt and <br /> City Coccncil app�•oval 60 days p�-ior to the event. Non-pernai.tted <br /> eve�zts will noz be allowed. <br /> NAME OF OWI��ER: ��� �`a�T1�E.Cs�n1►=�,���,�R PHOI�TE: (home) <br /> � 4 `' (work)�Z-q 73-Z.Z6 Z <br /> MAILINGADDRESS: IZS � �.1AYZATA E��vD CITY: I•�IAYZATA ZIP: �S�`1 � <br /> CONTRACTOR: ���.t��a Co.JS�c.Tto�► ��.e.�fie.��, ��. PHONE: 7G3-41�-3353 <br /> CONTACT PERSON: �O� t-I�+.►Z�e•r.1 MOBILE/PAGER: 7103•G�7-Zo b 3 <br /> MAILING ADDRESS:�45L ��S Wauv u� CITY: �-,fZ��J �i�;� ZIP: '� 3 <br /> STATE LICENSE: $� GOMMF"1ZLIAl_ EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: R�C'LI�� C���ta�I PHONE: �SZ-o4S-260� <br /> MAILINGADDRESS: IZq00 PoRs�h.►n AVE S CITY: �,�r�,.►�,J�t�E ZIP: 55337 <br /> NAME: �IA�I TL., �d�..1,.iso..� REGISTRATION# I SOSO <br /> TYPE OF WORK: New _ � Addition Accessory Structure <br /> Move Home Remodel/Alteration _� <br /> PROPOSED WORK(describe i�z detail): t��rJ L1�aoU �"IrlAwt� GIs�uR.c,H �LT ai.l <br /> �x���t�G ch� wn� a�r� �dk fliLEt.k*�? f-'��►.11L Fl.t�oR. F�.1�.�,0.� <br /> STORIES: � SQ.FEET OF EACH FLOOR: ��I°ID <br /> NO. OF BEDROOMS: J GARAGE STALLS: ATTACHED � DETACHED � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � 'g'DC� �o <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 rk is not to start without a permit; and that the work will be <br /> in accordance with the approved plan. <br /> APPLICAl\TT'S SIGNATURE: DATE: S�2�"�- <br /> 9 <br />