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c/ <br /> `1 . ).-c) vA p-)x <br /> Total Fee: $ ti)11VVYMOTO� Date Received: ? 3/706 <br /> Entered By: Permit#: 4-i OZ7? <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) " OWNERkk <br /> S R CONTRACTOR <br /> JOB SITE ADDRESS: POOO i IJ �a r.D(-, +u 01; ZIP: 5531/ <br /> Will this be arade of Homes, Remodelers Showcase Home or other Display Home? <br /> _ 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 OWNEF Z)h) 46 E.N PHONE: (home)33G- 9)--”a9 <br /> MAILINGADDRESS:AW) l5- i4(k CITY:Si. &JOQ(woZIP:�_��_� C, <br /> , <br /> CONTRACTOP\Sa� 2,i51F;►J S PHONE: 36-0 -(--/9). -904 <br /> CONTACT PERSON: �AA t MOBILE/PAGER: .--46 51-g- b$31- <br /> MAILING ADDRESS: 1000 OM S k i kb. CITY: Orli A) () ZIP: SS 37/ <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER:T, 6,SpAcQ ; Wat-. TLic, PHONE.5.4--..'t-`/? -III 7 <br /> p <br /> MAILING ADDRESS:i -b.P— 1/ -f CITY: 2A A ZIP: 6S 3i I <br /> NAME: q' . t)\ ���i a i REGISTRATION: # <br /> TYPE OF WORK: h. -w Home Alb Addition Accessory Structure <br /> ove 'ome Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permitsy <br /> ROPOSED WORK(describe in detail): Roik1 19 {, ).1.•CAA) 51'ts. 1€ A AVIL <br /> a M€ C. . Q..Jt a 15-- w •/ 1`f'. l IJ r . C ' %7/ . t( <br /> I D' <br /> � UU <br /> STORIES: SQ.FEET OF EACH FLOOR: a2/'Z 5 3 �S�/I i/o�!Hy. fl <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED ETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land):f 9N)l 060 <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 .0 <br /> APPLICANT'S SIGNATU' '! I DATE: 6:705/ DG <br /> 31 <br />