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Total Fee: $ 4)/0 - Date Received: v dlo <br /> Entered By: 447 �� (4/ -/01, Permit#: AD9971 <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 /> -------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) AEI 1 R CONTRACTOR <br /> JOB SITE ADDRESS: at 7-75 L3 L ‘rc- ask G'•r I - ZIP: 5—35 6 <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes 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: J&sr'''-cf 36,clu� I. - t sa PHONE: (home)'f)-_y 7‘ <br /> v (work)RS.1-47 S aN6'( Aiolto <br /> MAILING ADDRESS: x775 "Lk 66, (. rJ'- CITY: OrZIP: 3-5-3 �G <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <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): <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> uP <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3,000 <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 . s 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: i DATE: 7 06 <br /> I <br /> 31 <br />