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j3 <br /> Total Fee: $ /l0 5. 9 Date Received: Z) / b <br /> Entered By: Permit#: C23 1�9(2 8 - D OAF <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 O CONTRACTOR <br /> JOB SITE ADDRESS: 14O ) ()K A SHG P-F- N: W ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑Yes ®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: C�1� SUW V Y1 PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: PHONE: W-t 3n-g3Zo <br /> CONTACT PERSON: cfe MOBILE/PAGER: <br /> MAILING ADDRESS: �,j(Oy l I'Y1t M00 0,(- KE t�CITY:Silt l ;t�i�(C_ ZIP: f fM� <br /> STATE LICENSE: # 2&,-433,4514 EXPUZATION DATE: '3-31-09 <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) �►ZCiG <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): 'T EArl- Oer- S t2F-2GC.F <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 10-7(�, y C) <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. /06) <br /> APPLICANT'S SIGNATURE: - DATE: I 1, <br /> 31 <br />