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09/09/2004 16:02 FAX 6127218763 BAC CONSTRUCTION SERVICE Z002/003 <br /> C' µ c <br /> Total Fee: $ �5 2--05 Date Received: R- -6 <br /> Entered By: Permit#: p <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 OI� CONTRACTOR_ <; <br /> JOB SITE ADDRESS: / T c r '1�``•,( k „,I%i. (~-' t ZIP: a <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 u-ilh Police Department and City(.7 a ncil approval <br /> 60 days prior to the event Shuttle Ms.%ervice s>>ill he required unless applicant dernonsvr ares• <br /> sufficient on-site parking is available. A.'on-pernnitted events ivill not he allowed <br /> NAME OF OWNER: PHONE: (home)��' <br /> MAILING ADDRESS: >t�a � 't ..' f^� (work) _ <br /> i CITY: ; :..t..;b'1 t:: ZIP: <br /> CONTRACTOR: PHONE: l < <br /> CONTACT PERSON: .,,:;h _, ...`' < T M.OBILE/PAGER: <br /> NIAILING ADDRESS:(gf) 17; 1�, -tr aN Y CITY L {, ZIP: <br /> STATE LICENSE: # .:i 1 'i' EXPIRATION DATE: <br /> ARCHITECT/EN EER: PHONE: <br /> ib1AILING ADDRE CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail): � ' -%' '�4�- d �. .�,c' �L4 ? � ;� c� i <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): S <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: �, t...,' s4 <br /> � � �' �� .DATE: <br /> ,t <br />