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i <br /> Total Fee: $ Date Received: 5`17-05 <br /> Entered By: 2� '�L Permit#: , F��(`/ - <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 ONTRACTOR <br /> JOB SITE ADDRESS: T C,t-j 44d ©Con O zip: 5S3 64 <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 bits 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: M Q Do n✓lq PHONE: (home)1ST -4 ?¢ -SSI� <br /> (work) <br /> MAILING ADDRESS: )-)5- f on k4 6a, P-6 CITY: Tott,l'l d4, ZIP: 33-?51 <br /> CONTRACTOR: PHONE: 4;&J- 2-41- ?¢g,8 <br /> CONTACT PERSON: 6"t4&L'l MOBILE/PAGER: <br /> MAILING ADDRESS: t4-)4-!5- 2z *&Lz n CITY: C R . ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure © -C <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK*scribe in detail): A-9vA�kt.44- <br /> STORIES: - ' - SQ.FEET OF EACH FLOOR- <br /> NO. -OV BEDROOMS: GARAG SIAILS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(extruding Tandy: $ al & a C . <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 theCity 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: DATE: 5-0-v <br /> 31 <br />