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L, S.4•0‘1/4 <br /> • Total Fee: $ 'f/4B.3,3 Date Received:1- 0 If <br /> Entered By: ( Permit#: 4a 77 '7 <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 O CONTRACTOR <br /> JOB SITE ADDRESS: IOi Ili I I ciit View c*• ZIP: <br /> Will this be L arade of Homes,Remodelers Showcase Home or other Display Home? <br /> 0 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: ?)l 1 Lc a e mit 1 1 PHONE: (home) I4 O <br /> f `f (woiic) (0 ( 7141 <br /> MAILING ADDRESS: 1 OW W k( IDI Y�j(4'V CITY: ZIP: <br /> ll`` .E <br /> . <br /> CONTRACTOR: 4Jk S fi�(C�h UY) Irle-• PHONE: 703-4-1/Pl u1Q-?SSA <br /> CONTACT PERSON: .I4. S Sfivi m1 , MOBILE/PAGER: LO Id-8.77-o7IS- <br /> MAILING ADDRESS:a 5 ?. it,'ap41 I hop ir'Lt la CITY: M,e d i 0 ZIP: '35-3%o <br /> /0S-ASTATE LICENSE: # 2'04 S"i 1-5 g 0 EXPIRATION DATE: PM 1/0S- <br /> ARCH n E C T/ENGINEER: <br /> RCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration X <br /> PROPOSE WORKdescribe in detail): 16 l' A , , - IN Ord t AI ;/. <br /> FP6Vtal t LOL7.u , Fifa'. ' . <br /> STORIES: 'J SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 1 (a,D 0 0 43- <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 permi .n% work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. h <br /> APPLICANT'S SIGNAT " ;1 / "-- DATE: 9-) <br /> 1-41/ <br /> 31 <br />