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Total Fee: $ /6, 97. Z`f Date Received: A6616 <br /> Entered By: 4¢I- 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: I 2.0.o 0L-0 c42-/S 'b* g 044 P-0 S. ZIP: SS 3°I 1 <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑Yes 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: DOW 4MO)cL t_Y LE—is c PHONE: (home)752...-S4(-78/S <br /> (work) <br /> MAILING ADDRESS: 224 S P(/I-rw000 Ro CITY: /1/Ai-? 4 ZIP:55-3 0 S- <br /> CONTRACTOR: S 77n/IrYL Ate, k,App nen/ PHONE: 9s"z 4 73- S 4 3 s <br /> CONTACT PERSON: 7"/M og D4.VE MOBILE/PAGER: 61-2- 4/4- 67 2¢, <br /> MAILING ADDRESS: /8340 Qts/C2 CITY: (tVj4*/2ii-7/t ZIP: 53-39/ <br /> STATE LICENSE: # X72/ EXPIRATION DATE: 1tMe t l S1" 20o 7 <br /> ARCHITECT/ENGINEER: r5/�ctctiE C477 fre.—6,)t//7. PHONE:b 2 2 9 6 75 7S <br /> MAILING ADDRESS: 20/21 N014W apt 1A/ 51.- CITY: /%1 N/'k6t ZIP:3":5-3.9 <br /> S' <br /> NAME: /?cYL- 6---sputcf6S a REGISTRATION: # <br /> TYPE OF WORK: New Home X Addition Accessory Structure <br /> Move Home Remodel/Alteration(ie: Siding,Windows) <br /> PROPOSED WORK(describe in detail): ht ✓s/.4I t.Q rem t Li p-C--3/piAft4 G✓'JTZ <br /> A77-4Yr�Gvc'v <br /> STORIES: 2 SQ.FEET OF EACH FLOOR: Mt =SS°O, UG.= 4/70 <br /> NO. OF BEDROOMS: S GARAGE STALLS: ATTACHED 4- DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 2../2.643 COO <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: 2a)6 <br />