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9 <br /> Total Fee: $ Date Received: fl-a3-D7 <br /> Entered By: Permit#: <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: _ L4 0-11 QM- Sl(il,66r ZIP: S53S <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> [:] Yes -SNo Ifyes, 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: b2�A� Pb'i&tsoo PHONE: (home)2SX-'1*)6�35z <br /> (work) <br /> MAI�I�NG ADDRESS: 240-15 OAS SqnbCr CITY: cWw 0 ZIP: S_ S 35(0 <br /> CONTRACTOR: T'Kh C*,DwTek2. . C01,)TTCLA(M 0;0 , ,jg o PHONE: S-VS <br /> CONTACTPERSON: D�Aw MOBILE/PAGER: - 6 4 io <br /> MAILING ADDRESS: in SL., k& 14 CITY:Moues ZIP: 5& 3o <br /> STATE LICENSE: # �,b7-'1. EXPIRATION DATE: 3 31 .0 <br /> psi b,0 <br /> ARCHITECT/ENGINEER: 1�a&%-Coo U-4"CS PHONE: QSa,-�6S`a�166 <br /> MAILING ADDRESS: CITY: nnnytA ZIP: <br /> NAME: 5R.bll 2vmL)p REGISTRATION: # <br /> TYPE OF WORK: New Home Addition �6 Accessory Structure <br /> Move Home Remodel/Alteration(ie: Siding,Windows) �4— <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): Rbm,:;hbL,�*,c�'wo, 5� `op,,,A wt O j TO tT <br /> STORIES: _� SQ.FEET OF EACH FLOOR: 2�0 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ `3a ,00®se0 <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: <br /> 31 <br />