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rpt ci-8-off <br /> Total Fee: $ 'Mc?. 06 Date Received: c`--a(f) S <br /> Entered By: Olt- Permit#: Ds Q ctt I e <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(aTTRACTOR <br /> JOB SITE ADDRESS: oto 1n ►� E� ZIP: <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 be allowed. <br /> NAME OF OWNER } p PHONE: (home)(6)4 Fs‘k--Z79Tr <br /> (work) <br /> MAILING ADDRESS: ipp `1,1 ri.,.amu;tom, CITY: Opp ZIP: <br /> CONTRACTOR4,,spor PHONE:(bs- 73 j 31440 <br /> CONTACT PERSON: K. r6pf_jet,-- MOBILE/PAGER:(b s 7 7S=39.y0 <br /> MAILING ADDRESS: Iwo , �� V}xkCITY:(1 {,;,;, ._ ZIP:S s 12f <br /> STATE LICENSE: # Q;/<; })-►, EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure / <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail): 20 r () -G? L,ir 4)0 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 15, 000°J P�i3N- <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: 6, . , ,,Ati DATE:72l>fO <br /> 3-- <br /> 31 <br />