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be..sera <br /> 3Kash. •`u� _ o <br /> Total Fee: $ / "J 6Date Received: 8"5 Y <br /> Entered By: Permit#: AP 7 79 7 <br /> - /c/-t <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 O CONTRACTOR <br /> JOB SITE ADDRESS: Z a Vel c c }- V/ti y iF3( v GI . ZIP: G-5- <br /> Will <br /> SWill this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes 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: (/C/Ay z C ovr tr y CIL, PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> ((ost) <br /> CONTRACTOR: lM &mit, Co.,54-r c'p- C c , 7n -• PHONE: (0 33 - S o S O <br /> CONTACT PERSON: v l 63 4-s o MOBILE/PAGER: (biz) 9 E7 — c)-71.3 <br /> MAILING ADDRESS: 2:737 Far v . CITY: S .. P - I ZIP: 5-5-t 3 <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: /Piller 17 w deJ c 1'roh; r PHONE: a7/2-) 337- 0 0 0 0 <br /> MAILING ADDRESS: /z 3 N./or-4-4 fl, d S'fre e f CITY: *p l S , ZIP: 5 I4 o t <br /> NAME: t 1 t•c h e c/ 81'o hi"- REGISTRATION: # <br /> TYPE OF WORK: New Addition X Accessory Structure <br /> Move Home Remodel/Alteration )( <br /> PROPOSED WORK(describe in detail): Fr e c k s F , c/c/ s o n etc ,ecru n d e / <br /> of ts Th17 / c r./r'�y <br /> STORIES: SQ.FEET OF EACH FLOOR: V a r i e s <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Cn, -5 S, 0 0 0 <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 • DATE: <br /> -F v ( En,& -4— o,- (N,4 &o„.) ors <br /> 31 <br />