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Total Fee: $ f L.)' Date Received: : 1ST 0 5- <br /> -Entered By: OVA- Permit#: Po 813 <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 /> 0lbnk4 <br /> JOB SITE ADDRESS: /L1 Waito-R L4Ate ZIP: S. <br /> Will this be grade 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: VAM,/) YI EC4 C)1 eft, ' S NE: (home) 953- IVO hil ,7,,3�L (work) <br /> MAILING ADDRESS: , U, Rii 1-11 e /L CITY: r ZIP: 4, <br /> CONTRACTOR: An //STi^c f-7-t PHONE: 7&3- <br /> CONTACT PERSON: euevig MOBILE/PAGER: 6/2 -5W <br /> MAILING ADDRESS: 1/08; 75.f4 s s W CITY: G?/civey,/y ZIP: 5-cJr(® <br /> STATE LICENSE: # /7 3'S' EXPIRATION DATE: 3- 3/- <br /> ARCHITECT/ENGINEER: vt a i7e PHONE: <br /> MAILING ADDRESS: CTT Y: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration A <br /> PROPOSED WORK(describe in detail): re m o ' ep. ciit k + re.p lgclo <br /> ev � l`/i fr &u) /6 A4/6' ,'c <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 9 o CO <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: (o--a 7 C <br /> 31 <br />