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91)'46S <br /> 4. <br /> Total Fee: $‘1^,,4< '3 b9 Date Received: Lag-O5 <br /> Entered By: OM,- Permit#: 4ogii(// <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: 115o DLD ceNis-nac.- I SND. ZIP: S5 3q 1 <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑Yes Cgl No i,f 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: h j I (o+-)0 PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 1►& t i t7 csbisift3ASRACITY: OrZOO ZIP: 6$31( <br /> CONTRACTOR: W A S-r zz r-- 1-101,/1.2_ L L PHONE: 952-y7N-i-1 too <br /> CONTACT PERSON: N1;IGE ?g-re,Zg MOBILE/PAGER: (DM-AGA- 0903 <br /> MAILING ADDRESS: i-//,t/ 2.,20 ST. lilts CITY: i=xcels,ae.. ZIP: SS33 <br /> STATE LICENSE: # BC., Zo 39 pq p(o EXPIRATION DATE: O 3/0(o <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration ✓' <br /> PROPOSED WORK(describe in detail): Ret ta1oI M mice i l4., cult APP.} gest r5 <br /> BPTh U1 miZiorElecF�+Y.a/� i�&tIib;.0 14-VAL. �o,;,�} � ,u rt pooRS, <br /> STORIES: SQ.FEET OF EACH FLOOR: Nit oN1 SQFI <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Z 000 <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: L1 <br /> 31 <br />