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OCT-12-2007 09 :38 AM WALKER, ROOFING 6512510916 P. 01 <br /> Total Fee: S 7l Date Received: /D 7 <br /> Entered By: Permit#: / <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in lull before plan review will be started. <br /> (please print all lr{lormation) <br /> THE APPLICANT IS: (circle one) OWNER CONTRACTOR <br /> �111_5 JOB SITE ADDRESS: ��-���""� ZIP: <br /> Will this be a P de of Homes, Remodelers Showcase Home or other Display Home? <br /> [] Yea No !f 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 /> suffi:o�t ' parkin available. Non-permitted events will not be allowed.NAME OF OWNER: r✓E` PHONE: (home)�IZ-3.3?%5f_V <br /> _ (work) ?sa-Y-A--&Q 3o <br /> MAILING ADDRESS: J �i!/A %'jTiw�✓ CITY: D<o""' ZIP: SS IF;r - <br /> CONTRACTOR: r1 o G PHONE: <br /> CONTACT PERSON: ICYLL _ MOBILE/PAGER: l► <br /> MAILING ADDRESS: IL-24 GAAP A CITY: Sr ZIP: <br /> STATE LICENSE: #_ NZL9 EXPIRATION DATE: 3 og <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) <br /> Arty earth movement may require McwD,�'eview and perm a! <br /> PROPOSED WORK describe in detail): T�4 a&.f_ �4i. <br /> 1�r 2a t". <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 1 acknowledge that the info is complete and accurate; <br /> that the work will be in conformance with the ordinanc o the City and with the State Building <br /> Code;that 1 understand this is not a permit and work-ft4 out a permit;and that the work will be <br /> in accordance with the approved plan. f" <br /> l J <br /> I <br /> APPLICANT'S SIGNATURE: r DATE: l o�� v� <br /> 731 <br />