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- 709 / <br /> Total Fee: $ / tb"-: ,'" .3 Date Received: / O We V <br /> Entered By: Permit#: 4070 8 ^OO (/ 3 l <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 0' CONTRACTOR <br /> JOB SITE ADDRESS: 2-3C0 d 1 i V e- tck)- ZIP: CS 3 7/ <br /> Will this be a Parade 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 OWNER -, J a5o 4'-t I.A. Lt PHONE: (home) 9 /7/ U/ <br /> (work) <br /> MAILING ADDRESS: S i4wi C CITY: ZIP: <br /> CONTRACTOR: i_I 11"-X C:;1►6 pv 4'`3 1 I.A.,4-- PHONE: 9 51-4 7 f-5a‘S- <br /> CONTACT <br /> SCONTACT PERSON: Jo.- 1_u54 MOBILE/PAGER: to I i - 71 e-2,4-7o <br /> MAILING ADDRESS: 2tP1?S f wre gbbf KOC — CITY: /1-c wccoe ZIP: ki Av <br /> STATE LICENSE: # Zo t ra$K 3 ( EXPIRATION DATE: 3 - 07 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding,Windows) X' <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): --c 'L LCLc._ ;;'L,,,1(- s s act-�yxritf <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3T 04' <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 •ermit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved p 1i. / <br /> APPLICANT'S SIGNATU' a ',/�,�1 , I ) DATE: I'2 ' q - o <br /> 31 <br />