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ResoLwf-ions <br /> 740 be- <br /> 1<1 <br /> 4 <br /> Total Fee: $ 1" Date Received: 9-Z1-69 V <br /> Entered By: Permit#: ADBO// <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 OR CONTRACTOR <br /> JOB SITE ADDRESS:430 ., <br /> , �._.. - ,.� Wa yr, ZIP: 5 5361( <br /> l <br /> Will this be a 'arade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes 1:/ 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. <br /> NAME OF OWNER: ala yea C,l1U -frt( (',lt t,h PHONE: (home)q 2-47;-1455 <br /> (work) <br /> MAILING ADDRESS:?0:6n 151 CITY: INariI ZIP: 6 'l I <br /> CONTRACTOR: L.c546,, t..�.+,i 1,1 i LA6,h I It c.. PHONE: 32.6-395-253 <br /> CONTACT PERSON: La k; Q ri 5[o Ik MOBILE/PAGER: L1/2-•'15(t-15 <br /> MAILING ADDRESS: )(1( 56041,4 tnt 4u.t. 5_ CITY:I,.446, 'Pray r ZIP: 5 5354 <br /> STATE LICENSE: # P)G-401 o EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGIS"RATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail): 3.t_t 4 -*-64.( u... <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <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: I1 J OVtil DATE: I30 b <br /> 31 <br />