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Aller <br /> Total Fee: $ 5��V, aS Date Received: A00/ / g <br /> Entered By: 1 <br /> ;�-�' r Permit#: 9( j / <br /> 1 <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 /> T\ <br /> THE APPLICANT IS: (circle one) WNEII,,OR CONTRACTOR <br /> JOB SITE ADDRESS: D5-S' U lGC e/tip LY j!a 1 G J(�ZLP: S53s <br /> -k2 <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑YesTo Ifyes,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.nNon-permitted d- <br /> ermitted events will not be allowed. <br /> , <br /> NAME OF OWNER: ��7 f CI W k. Adger PHONE: (home j 'Z 4jq ?`/ <br /> �/, (woik 52 049'-Q�7 <br /> MAILING ADDRESS: s°0/ t C II : r)Y04Q ZIP: %3S-12 <br /> CONTRACTOR Sit CJ flIei PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> A � til YV U) PHONE: 703-411P 4-D tq 4 Cad) <br /> MAILING ADDRESS: i 2 4i1Y V j euJ kJ. CITY: 4)I L N1,3, ---ZIP: S 5 ell <br /> �1 � <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New - Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail): Oil C 2"S ij 110-rot: <br /> STORIES: 2-4— '�Z SQ.FEET OF EACH FLOOR ftauflOTY= 1,8.(Q g'i r / 11a))-/i 9 ) <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED X DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ l <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 plan. <br /> APPLICANT'S SIGNATURE: "wry / /I DATE: il/Z1(26— <br />