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Jun-07-2005 02:09pm From-CITY OF ORONO +9522494616 T-112 P.001/002 F-484 <br /> Total Fee: <br /> 5 <br /> S Date Received: '' <br /> Entered By: _ Z� Ce-7/o/a 5 Permit#• <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 /> TIDE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: , rw , t/41 12, ZIP: 5-s3SG <br /> Will this be a Pa de of Homes,Remodelers Showcase Home or other Display Borne? <br /> Li Yes ifyes,a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the evens. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient an-site paring is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: z. U ' PHONE: (home) �5-;./ sS- 7C' .$ <br /> (work) ?,c,2 - - 7/ 6/ <br /> MAILING ADDRESS: ..�v we o//4 CITY: 0/2c),-)0 ZIP: SS Ys6 <br /> CONTRACTOR: , / /S /00_,„Ls. PHONE: 773-- SSG - 0(0 3 <br /> CONTACT PERSON: / Clc (9Atci1 5 MOBILE/PAGER: l/)- 7v2- G1., <br /> M ATL:LNG ADDRESS: i-I ( TIP ,41,-)L• AJ CITY: ik �C i r I : <br /> STATE LICENSE: # EXPIRATION DAT : <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 /> • <br /> PROPOSED WORK(describe in detail): _ S /1/1 k - /4:;)c) L <br /> X./L-/ <br /> STORIES: _ SQ.FEET OF EACH FLOOR: - ' <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 110/ c) 0 0 <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 /> :n accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: - DATE: <br /> 31 <br /> JUN-7-2005 TUE 01:54PM ID: PAGE: 1 <br />