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Jan. 17. 2008 12: 03PM No. 8688 P. 2 <br /> xl <br /> Total Fee: $ BS Date Received: /"/ 7-D0 <br /> Entered By: 11> Permit#: _ 4�/ <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: a 3 L LI Olive F Mi1 ue Zip: <br /> Will this be a P,grade of Homes,Remodelers Showcase Home or other Display Home? <br /> El Yes o ,lyes,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: Nast r e Coy 1%t nda.h I PHONE: (home)95 a-Lr1 1_7gq� <br /> (work) Lo I a -$b1-30)-3 <br /> MAILING ADDRESS: , 313/41--i U l i J e 1k)e. CITY: V O o, ZIP: 55311 I <br /> CONTRACTOR:1)YCr1q i SSa n S PHONE:1(03 78O-act ) <br /> CONTACT PERSON: Arrti e MOBILE/PAGER: <br /> MAILING ADDRESS: `t l Ki swood lane N CITY: ZIP: 552469 <br /> STATE LICENSE: # (.13R5 EXPIRATION DATE: 3/OW <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) L/. <br /> PROPOSED WORK(describe in detail):, tlGP 3 Lour.c10 u.)-' Lol - <br /> O <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ;.$)Oa <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: J ?),_0 din . DATE: 1-f-Os' <br /> 31 <br />