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Total Fee: $ 3 735 6c' Date Received: q`q- 0 / <br /> Entered By: r-Z Permit#: o'71gZ <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) OWNERJOR CONTRACTOR <br /> JOB SITE ADDRESS: 9 23" O /d La my Lake /Toad/ 1.va1.z„S4ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> I Yes IX No lives, 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: 51c,r re/1 E. dt liar;ti // /4nd ersoo PHONE: (home)(9.55) 4.73_/?29 <br /> (work) <br /> MAILING ADDRESS: 9a0 W, i4/472a7ta &I CITY: LI/axZaflz ZIP: 3-"5;?9/ <br /> CONTRACTOR: 0 wh e r PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> Qes,5ne ' : key;✓t I4ober- PHONE:(763)2 IA -099..5 <br /> MAILING ADDRESS: /200 if;nysv;ewLane N. CITY: Pi rr�ocet4 ZIP:,554'47–Ses-B6 <br /> NAME: 7"'�rn;,,,J Leaf D's�vt C . REGISTRATION: # <br /> TYPE OF WORK: New X Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail): Co yr sitr c.ic1/c' ©f het ' s.'vi le <br /> 'rtarri;1y ofire1/;h4q <br /> /ewe_ / 23i7 <br /> STORIES: 2 SQ.FEET OF EACH FLOOR: Lower leve I 769 <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATTACHED 3 DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 310, 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: 5:0 DATE: 9- /5( - 0 5� <br /> 31 <br />