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NOO-18-2010 02:45 FROM:TREBILFOUNDATION SYS 3205938720 TO: 19522494616 <br /> Total Fee: $ � 3. 0-0 Date Received: i,/ - <br /> Entered <br /> -Entered By: Per niit#: <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: J`-V 0 ,r o-ro /K\,(\f ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> Yes ;�No 1jyes,a special event paimil is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant dernortistrates <br /> sufficient an-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: PHONE: (home) _ (ga - a e�a� <br /> (Work-) <br /> MATLINGADDRESS: /x,-� CITY: r-,c,,,-� ZIP; <br /> CONTRACTOR: PHONE: s <br /> CONTACT PERSON: Y .; .t_. \�,cr� MOBILE/PAGER: <br /> MAILING ADDRESS: 1 �?,5�,� �,�.�, \�_ CITY: <�\ ZIP: c, <br /> STATE LICENSE: #—,&U 4, � �j EXPIRATION DATE: 3 - R i- Q n i :Z <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> \PROPOSED WORK(describe in detail):1��-�' <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): S <br /> 1 hereby apply for a building permit and I acknowledge that the information above is completo 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 notto start witho t a permit;and that the work will be <br /> in accordance with the approved plan, <br /> APPLICANT'S SIGNAT DATE: <br /> 31 Sri 5I cn0 j ,�✓2IAj ,LNSj�GCr <br /> AAJ O J-r/vy'C <br />