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May 01 07 10:06a Buckshot Exteriors Inc 7636335665 p.1 <br /> Nay-01-200T♦09:43am From-:ITY OF ORONO +9522494616 T-541 P.001/002 F-130 <br /> . , '4 (o 9 tie <br /> Total Fee: $ Date Received: <br /> Entered By; Permit#: L`. 7 <br /> CITY OF ORONO - BALDING 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 CONTRACT012 <br /> JOB SITE ADDRESS: 9 q - -r« .1/1-r,1 0 <br /> 1124k <br /> Will 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 <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: C PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: 42u C kS l.0?' / X /-eg az, 2 iv c- PHONE: 7G3-;3 3- s66 <br /> CONTACT PERSON: [h i K e V`C Ltic c MOBILE/PAGER: 6/a7 - 36 9—235/3 <br /> MAILING ADDRESS: 3 -�TCtC k.sat.-> vie /V 5 CUM_ 1KeRiu�t ZIP: Ss.333 <br /> STATE LICENSE: # vi�O5 / i353 3 •a <br /> ARCHITECT/ENGINEER.: PHONE: <br /> FAILING ADDRESS: CITY: ZIP; <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail)_ ^_____-_af ,(,v.� �o <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO, OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ jJ <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a perrnit and work is not to start without s.permit; and that the work will by in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: '� DATE: - 7 <br />