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Total Fee: $ Date Received: <br /> Entered By: Permit#: <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 is TRACTO <br /> JOB SITE ADDRESS: 2.l FS Ledo 6.4,- H/ S -*C.30,8 ZIP: S 7/ <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes j No Ifyes, 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: Pec, Ge ry\ yNctS4v\ PHONE: (home) (o/a _d - 57g-5 <br /> (work) <br /> MAILING ADDRESS: A/FSS"tc)do(ow 14-,Aci, CITY: 0 Voel 0 ZIP: ,T75'3 5/ <br /> CONTRACTOR: atAr&v- lj/IDS, PHONE: 9sa-a77-/(coo <br /> CONTACT PERSON: a esi--1\ IZ,kd,►A , MOBILE/PAGER: <br /> MAILING ADDRESS:/0157 C tc.Ql s,'o✓ t'31 v cC CITY: l r iii,v- S ZIP: 5 3`i3 <br /> STATE LICENSE: # oa 3 93 6 7 EXPIRATION DATE: 0 3/3//o <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) X <br /> PROPOSED WORK(describe in detail): Ae_1 �QC vyj0 cam)S <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ .,346"3). 6 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: C. <br /> 31 <br />