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Total Fee: $ <br /> / Date Received: A 6-Zo '0 <br /> Entered By: �Z xl LIZ`f Permit#: 4O gigs <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 R CONTRACTOR <br /> JOB SITE ADDRESS: S6c i kti-c(bEz 4C L'v` ZIP: c-53 , <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> Yes Fi 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:(j6"'L�ofc` V, f—/C-'(� '-re-.-A PHONE: (home) C C-, �9�`1 a -3)6¢ <br /> (work) <br /> MAILING ADDRESS: ' Lc1,va ititau( ( %vi CITY: / 70/.-.< 'J ZIP: Ste;3 6 <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 Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail): 14 x A i.&44 k it,jz4v/i/ ;47,0 I <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3 7 CXR , 0,7i) <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 .rk is not to sta without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ► DATE: g/2-07 j <br /> 31 <br />