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fz-I- t& <br /> ortgini' t pie-►s m P-o-w c,o¢,re-r rhace l <br /> APFER, me ?CT f Rfrti T <br /> Total Fee: $ 136-24 Date Received: ' D 3 LH <br /> Entered By: jI Permit#: - 19 dv <br /> I ' <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: LD L 5 G L ) LON 6 Lf c -O(1D ZIP: 555q' <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> -11 Yes ❑ 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 /> NAME OF OWNER: Jc e . e S PHONE: (home) <br /> t (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: JO{-}VNSW alsni . P t, S, INC . PHONE: 6152-1q( -7qq q <br /> CONTACT PERSON: JIB"(, CA12Tl12- MOBILE/PAGER: 'IS? - aha -1q37 <br /> MAILING ADDRESS: I I(pi IN&ve /a. g1 vd X21 g CITY: WAyzl)-M ZIP: 553q/ <br /> STATE LICENSE: # 1452-S EXPIRATION DATE: 3--3/-07 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure X <br /> Move Home Remodel/Alteration(ie: Siding,Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): Two 1 �S eat LT ITT ME ENO <br /> TN <br /> bF T Dwv'e wily, LIvHT ?OSTS - firt.toria.^ 'i„t > <br /> STORIES: SQ.FEET OF EACH FLOOR: "" <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED ---DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding la'd): $ O. <br /> I hereby apply for a building permit and I acknowledge that the informatio. .bove is complete . • . curate; <br /> that the work will be in conformance with the ordinances and codes of the City an' wi . 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 /> - <br /> APPLICANT'S SIGNATURE: %' _ ��4— DATE: 7'j q <br /> s <br /> 31 <br />