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Total Fee: $ 3i3 53 ' <br /> ' Date Received: - i /g <br /> Entered By: Permit#: AM % g 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 /> o THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> , <br /> JOB SITE ADDRESS: //U2' OP/ 6r'cfglatd 847 ree ZIP: vS <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> Yes Nj 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 /> ERgvus G.eQ1n,z-t <br /> NAME OF OWNER: if r66e# 1 go,,/,,v/ PHONE: (home) <br /> (work) ea-2-77"/e100, `::77;65 <br /> MAILING ADDRESS: PO.�X$r CITY: ��ZIP: ,ss'3.Q3 <br /> CONTRACTOR: ei,if (>' &" . 6/1-414K-Atjr B LI Zr PHONE: Sao-W5---02-W(/-qv/ <br /> CONTACT PERSO /i . 4? MO ,90 , 1v/ y <br /> MAILING ADDRESS: 59,9 3-,)c1,,46c Aq. ]?c &(d) CITY: tai ZIP: 3-5-V,5--- <br /> STATE <br /> STATE LICENSE: # 7/ ?7(p EXPIRATION DATE: /774/Ichi pq <br /> ARCHITECT/ENGINEER: PHONE: <br /> - MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure 64 <br /> Move Home Remodel/Alteration (ie: Siding,Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): eci%�,� . 3 ouf, ,'/ i _ - A- -i6 , /j <br /> 5'71 &ti (?9Q2// y (%j- w',s'X aTa <br /> 6' 7,-;,-/21d,(4 fff C 'y 30' sivc 06l 6607/1) <br /> STORIES: SQ.FEET OF EACH FLOOR: 0 ✓ <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 01'51-4.00c1 <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. .i// <br /> AVOW/„..1017 <br /> APPLICANT'S SIGNATURE: /,,��,,,��i��`/// DATE: 4,-/7 Q <br /> 31 <br />