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w <br /> 1 <br /> L y, <br /> Total Fee: $ Date Received: 5/n Lo(p <br /> Entered By: /f'Y r Permit#: fl)2 <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 R CONTRACTOR <br /> JOB SITE ADDRESS: B (p o U i n L T l QC (' ZIP: 5 5 3 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑Yes10 If yes,a special event permit is required with Police Department and City Council approval <br /> /T 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. <br /> NAME OF OWNER: 1 0 ryi a S L I Vl Gam' PHONE: (home) <br /> r / (work) <br /> MAILING ADDRESS: _ CITY: A11,0140d- ZIP .-� <br /> (_vA/r.4 c T s o/v ('Ts z)`t72- -.2jr,S-'� <br /> CONTRACTOR: S I r� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: 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) X <br /> PROPOSED WORK(describe in detail): Ao(&� t{ w; nd0WS 4 Fran Som, <br /> a d Z C e c ►-),Ar w_ <br /> STORIES: Z SQ.FEET OF EACH FLOOR: u�p ra . 1400 <br /> NO. OF BEDROOMS: 5 GARAGE STALLS: ATTACWED Z DETACHED 14 <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 5,, C)0 n <br /> I hereby apply for a building pen-nit 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: '4DATE: May 1 'Loo 6 <br /> 31 <br />