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�;\ j-}C icy zs -1-0 "; �, 'vcp <br /> „ sy , c., <br /> . oSA-4\ r1/1' , v , , „,- 0_, 7„ <br /> Total Fee: $ .�3B'8 -s'• Date Received: Ay 37 <br /> Entered By: 12-D r09 /O( i Permit#: /c//,VoS <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 s ONTRACTO' /' <br /> JOB SITE ADDRESS: 6141 p L17 1-44 4 LativE ?a^ ZIP: G59:;) I <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> KYes No Lfyes, 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 /> c, <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. I--7 GJ �pl b <br /> Le <br /> /�C', ! - Imo• J 6 4J PHONE: (home) Q <br /> NAME OF OWNER: �j '�7!� yyo <br /> (work) <br /> MAILING ADDRESS:2 5$C 01.0Q . CITY:b4?,01 D ZIP: 4S34I t <br /> CONTRACTOR: 01I 1ioMd CoffeiM 440451 Its/4 PHONE: 152. 746'79)1 <br /> CONTACT PERSON: JAC . CAsa TSE( . MOBILE/PAGER:952.240. 1431 <br /> MAILING ADDRESS: (o I WAvt j1ST�1 0.1./d CITY: 1�1(eiy1lA ZIP: 9. 39 <br /> STATE LICENSE: # .4 LS EXPIRATION DATE: <br /> ARCHITECT/ENGINEER:Te4, PHONE: n' • 929.14566 <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: GµIZIS 5TQ,D M REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describ n detail): , y 2Gar& • . , p` ,'. ; <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 7 `boo <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 ordina •-s :nd codes of the City and with the State Building <br /> Code;that I understand this is not a permit and wor s not o start without a permit;and that the work will be <br /> in accordance with the approved <br /> pi <br /> D'rAPi r DATE. t O • <br /> PLICANT'S SIGNATU'. .mo ,;I <br />