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�Ob-Wk OHM - PG <br /> 4 [��-I , <br /> Total Fee: S 5 ya DT- Date Received: g d Lf <br /> Entered By: ,PL Permit#: 7 q W( <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 /> ----------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: CON <br /> (circle one) OWNER O TRACTOR <br /> n <br /> JOB SITE ADDRESS: 155 _ (Dn KQw(- RDaA zip: 5 535(p <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes P: 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. �j <br /> NAME OF OWNER: � ) R(Dae '$ PHONE: (home)%a -4, 1 - p C�-79 <br /> .-1���on kQ�� � (work).t4 <br /> MAILING ADDRESS: / CITY: ©ron o ZIP: �� <br /> CONTRACTOR: PHONE: Iola __�a l 5500 <br /> (P/ CONTACT PERSON: MOBILE/PAGER: <br /> c�23 MAILING ADDRESS: CITY: MpLe, ZIP:_% tSgj <br /> 8!/ STATE LICENSE: # 1 EXPIRATION DATE: <br /> ARCHITECT/ENER: PHONE: <br /> MAILING ADDRE CITY. ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration T <br /> 03 <br /> PROPOSED WORK(descri a in detail): f- h0 S D <br /> Ke AO "%A O&S C1AJrY18UA <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3 , <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. Q <br /> APPLICANT'S SIGNATURE:k=40cur DATE: <br /> 31 <br />