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Gay - - — <br /> Total Fee: $ 7y 3.8 9 Date Received: 9- OS <br /> Entered By: 634j <br /> Permit#: Ap9220 <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 0• CONTRACTOR <br /> JOB SITE ADDRESS: /DU.J (icy/ LCCti %6-1 ' ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> LiYes ❑ 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: (iSi4 Jec57171 / ice Sc -' PHONE: (home) 95c)-3 - )9 <br /> (work) <br /> MAILING ADDRESS: /COS <-" O/e' CITY: ox.Jc..) ZIP: -536/ <br /> CONTRACTOR: ` =2oc/� mac- 4 (-1:5-<-- e-,43 PHONE: q.S.3 a-73 yyd/ <br /> CONTACT PERSON: /vjv (4ev���? MOBILE/PAGER: - - /17 <br /> MAILING ADDRESS: jc/ A'/r9/<e/ey 72 CITY:&//c ,i't ZIP: , (,Do// <br /> STATE LICENSE: # ��j! EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: /-0-/ PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New )C Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail): 7 , C 2a U 1,� Y�� / >cj <br /> L.cmc'/vO5 �c�tc S.��c�t y (70 c-e%? <br /> STORIES: SQ.FEET O <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): S <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: -cam - DATE: 9-'03 <br /> 31 <br />