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Total Fee: $ ,, 6 ') _ 30 Date Received: LP -C( -OS-- <br /> Entered <br /> OSEntered By: 6Nv1_ Permit#: e Dg-e9-0 <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 /> _______D, <br /> JOB SITE ADDRESS: y1K W tjjc.tmw-e.ir L.,.t t - ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> _ Yes n 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: rok. t, 4v��.� Z <br /> vAw'-v- PHONE: (home) 9 -L4- - 11 (.:,-/ <br /> (work) <br /> MAILING ADDRESS: <-7'- WAlAwv"vt--� Lk-,CITY: ZIP: <br /> CONTRACTOR: �e.\ 1 CK\-v-►ov-- PHONE: 9S 2-.411-g041- <br /> CONTACT PERSON: Jo\-.‘", l�ti -t- MOBILE/PAGER: (017.. -7 1?-2-41C) <br /> MAILING ADDRESS: 2(l i g 1,?k,e Ck CITY: c-KcA1'or- ZIP: <br /> STATE LICENSE: # 2_01(.471 EXPIRATION DATE: ?—D(o <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): 'yde" Y-" IA- e&t- ?-c...1A-koVe e.V51-(14.1 <br /> 4 . `. )e ' c, • l` ce `$. t,Va Y MISMILMIIMIIIMISIF1€' <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> co <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 'S Qci <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.n. / <br /> APPLICANT'S SIGNAT • ��� `., ,.j DATE: �- /-US <br /> V <br /> 31 <br />