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APR-22-200a�12:23P FROM:EXCEL ROOFING 121882781z3 TD:95z2494616 P.1 <br /> r <br /> , <br /> Total Fee: $ � `�a " `3� Date R�ceived: �/n 9'9/ <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> All iniormation must be submitted in fnll before plaa review will be started. <br /> (please print al/injormatfon) <br /> TAE APPLYCANT IS: (c�rcle o�e) OWNER O CONTRACTOR <br /> - aoB srrE AUDxEss: I�'1 D L.a�ev i�u> T�� z�: 53 6 <br /> Wilt this be a �rade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑YCS �NO If yes,a special even/permi!is reguired wi�h Police Deparlmenl and Gity Council approval <br /> 60 days prlor lo Ihe event, Shurt/e bus servtce will be reguired unless app/icanl demons�rates <br /> s��cient on-sile pqrking is avnilable. Non permitted evenl.c will nol be allawed. <br /> NAME OF OWNER: u�.c� �a�1G�r P130NE: (home) q�-4?3-a$�{D <br /> (W�) <br /> MAiLING ADDRESS: �`$10 L,o�Q��[�1�C.( CITY: n c ot�p,_ZIP: 553sh <br /> corrr�►cTOR: � ' rHorr�: `I e3-��-0�5� <br /> CONTACT PERSON: S MOBILE/PAGER: `163•a3a-aK�1 <br /> MAILING ADDRESS: I I'��'1 O �ur.\a� Ot A) CITY: Ci�/1 uv►n ZIP: �5�,],� <br /> STATE LICENSE: # �(�1 ��� EXPiRATION DATE: <br /> ARCAITECT/ENGINEER: PHUNE: <br /> MAILING A.DDRESS: G'ITY: ZIP: <br /> N�: REGISTRATION: � <br /> TYPE OF WORK: New Home Addidon Accessory Structure <br /> Move Home Remodel/Alteration(ie:Siding,Windows) ��� <br /> Any earth movement ,may require MCWD review and permit�! <br /> PROP45EDWORK(descrlbelndetal�:�lr.�r-J�c'� �- �-S�:na��'1ow�_ <br /> STORIES: SQ.FEET OF EACH FI.00R: <br /> NO.OF BEDROOMS: GAR.AGE STALLS: ATTACHED DETACHED_ <br /> /' � � <br /> ESTIMATED CON5TRUCTION VALUATION(eYcluding land).:�$l�2� � �� <br /> 1 hereby apply for a building permit and T acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances d codes of the City and with the State Building <br /> Code;that 1 understand this is not a permit and wo ' o withou rmit;and that the work will be <br /> in accordence with the approved plan. <br /> APPLICANT'S SIGNATURE: D�►TE: �/�v <br /> 31 <br />