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APR. 12. 2005 2:49PM COLDWELL BANKER NO. 538 P. 4 <br /> C <br /> 1 <br /> Total Fee: $ 7461- 5S Date Received: q-1 3-0.(' <br /> Entered By: Permit#: A0 (oo <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 INECK <br /> JOB SITE ADDRESS: a d ZIP: <br /> Will this be p Parade of Homes,Remodelers Showcase Home or other DisplayHome? <br /> [-]Yes o yyes,a special evenrpermit is required with Police Department and City Council approval <br /> 60 days prior to the event. shuttle bus servioe will be required unless applicant demonstrates <br /> sufficient onsite parking is available Non-permitted events will not be allowed, <br /> NAME OF OWNER: yes F , lire ak s PHONE: (home) JM -Q`73-r 4e93 Y <br /> ( ) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRAC'T'OR: PHONE: _Ito �-757- 3&0;#' <br /> CONTACT PERSON: r/ ,• /a A.r MOBILE/PAGER: jEj^986 _'77,4 <br /> MAIOLINGADDRESS: I-sdly f a CITY: //day vrA f $30 <br /> STATE LICENSE: # P0/1-- ENPYRATION DATE: :2-31—a4, <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILINGADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Tome RemodeVAltoration <br /> PROPOSED WORK(describe in detail): ,;- 3 rs 1-4 C Q Jd L&W,. <br /> KI I Ml N GI A A9 kh g- 11 o <br /> STORIES: / SQ.FEET OF EACH FLOOR.- <br /> NO.OF <br /> LOOR:NO.OF BEDROOMS: GARAGE STALLS: AT1 ETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ „�/, cr9 40 <br /> I hereby apply for a buildivag permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in confioxmence with the ordinaaoes and codes of the City and with the State Building <br /> Code;that I mdatVand 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: DATE: <br /> 31 <br />