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� 1 1 <br /> Total Fee: $ D 1.-15 Date Received: lag <br /> Entered By: )'j,{ Permit#: <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 /> ---------------------------------------------------------------------------------------------------------------------1-- <br /> THE APPLICANT IS: (circle one) OWNER OIL <br /> t <br /> JOB SITE ADDRESS: SYO /Q CL)ct Gal 614W6 ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes X No If yes, a special event permit is required with Police Department and City Council approv�l <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 d. <br /> ermitted events will not be allowed <br /> NAMEOF OWNER: Cayis6w' C - is�+^[til PHONE: (home) <br /> 1 (work) i <br /> MAILING ADDRESS: `/d�` � CITY• ✓Ow J ZIP: <br /> CONTRACTOR: e Y l�tL' vS PHONE: a' t ? �a•I <br /> CONTACT PERSON: t MOBILE/PAGER: l a-- •- .3�y <br /> MAILING ADDRESS: 331 Se CITY: EXc.tiSie✓ ZIP: S�;-3 y <br /> STATE LICENSE: # 2-03—LOG-70k EXPIRATION DATE: l g t / Lo Q <br /> ARCHITECT/ENGINEER: &6U e✓ 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) �"• <br /> PROPOSED WORK(describe in detail):- a move_ G loSdS TO e_cJt, <br /> I Yr oo C y\oA C_ *_ v.00w., <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED-1 <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 0 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 the City and with the State Building i <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: ` LG/.� DATE: sl/w <br /> 31 <br />