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Total Fee: $ 4754 '8 6 Date Received: .5 a-7,z-or <br /> Entered By: Permit#: �Q�`73 <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 ORLCONTRACTOR 1 <br /> JOB SITE ADDRESS: qw I 1 I OPV leap ZIP: 5535(0 <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 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 he allowed. <br /> NAME OF OWNER: PHONE: (home) . <br /> (work) <br /> MAILING ADDRESS: f CITY: nZIP: <br /> t�,� <br /> CONTRACTOR: r S WA 00n/Le S PHONE: "l c•4'4t0. / t/ <br /> CONTACT PERSON: Joe Ct u. l,un6+ MOBILE/PAGER: a5?-• 9-10-el ec.°3 <br /> MAILING ADDRESS: Lha OCtJ,jf,und CITY: St. 13MA leftdieZiP: %37 <br /> STATE LICENSE: # 2-03 01 5)_$ EXPIRATION DATE: 3.SI.O(, <br /> ARCHITECT/ENGINEER: tir P Pl i nntnc 4 wstr PHONE:76Q -�ao.QLI <br /> MAILING ADDRESS: GI ion `Nail(Ylor£, Si-.NE CITY: 161 Ct.)-ne ZIP: C <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New K Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail): add4 t27X �(o (p G�Je e w 4b Yfee, <br /> ID OA <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ a obc7.00 <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 w. k not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT`S SIGNATUR . �/j DATE: <br /> 31 <br />