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. 11/08/2005 10:21 FAX 6517700495 n WINDOWWORLD- f�001/003 <br /> v�� <br /> C���,o� <br /> - ��. <br /> Total Fee: $ /3. -� DateReceived: //-�-0 f <br /> Entered By: Permit#: �� 9 <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 /> -- ---o <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTO <br /> JOB STTE ADDRES5: �J � / /�' I� (��1�-r-.( ��_(/� ZIP: � <br /> �— <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 /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> / qSz -���7�3�°I3 <br /> NAME OF OWNER: �rI �GD'y��' (c PHONE: (home) <br /> (work) <br /> MAILINGADDRESS: ��� CITY: �r��G ZIP: - <br /> CONTRACTOR: r G �(J 1�' CG� PHONE: ��� ��• �S�G <br /> CONTACT PERSON: ' � r�' MOBILE/PAGER: � <br /> MAILING ADDRESS: r - CTTY: ' Z : <br /> STATE LICENSE: # G� EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Sixucture <br /> Move Home RemodeUAlteration <br /> PROPOSED WORK(describe in detai�: �.��► �c;r� Jz_ �,r�aGa�/�' � /f�� ('��n��.�. <br /> Sjz� , <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � � �� <br /> I hereby apply for a building pernut 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 pernut;and that the work will be <br /> in accordance wikh the approved plan. <br /> APPLICANT'5 SIGNATURE: ��+Q� �l�%� DATE: I- ` G� <br /> 31 <br />