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Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO -BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> 1 P*2-• (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR D <br /> JOB SITE ADDRESS: IU)b b\tt Cofaxl \uy RU(h(X .‘)1A-4-1/\ ZIP: GC-79 <br /> Will this be a Parade of Homes,Remodellers Showcase Home or other Display Home? <br /> ® Yes al No If yes, a special event permit is required with Police Department and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: R b\2& ryl n i PHONE: (home)°1 )-Li1(-1-11001 <br /> (work) 1)15?-F,2G,-LAG)1 <br /> MAILING ADDRESS: \\bD Old Otijp/A BGt Rd►,S CITY: 0 nNt d ZIP: c,C,361i <br /> CONTRACTOR: GAY WOK- F1/e nc.L'1 12.0 0 f1 i;161 CAA'?• PHONE: -1ad--1 ) <br /> CONTACT PERSON: KAY\ CintLy 1 P&V Jl MOBILE/PAGER: <br /> MAILING ADDRESS: E(A ' ' 1 St. CITY: Mvb• ZIP: CZ.,40(0 <br /> STATE LICENSE: # 000\y a , EXPIRATION DATE: 3 131 10 S <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure _ _ <br /> Addition _ Move Home _ <br /> Remodel/Alteration <br /> PROPOSED WORK(describe in detail): R.e.Qla1,2 YRp&&1Ys 'I-) <br /> eVDM vboE• PerEetrr0 m& nitinoaiLe, io 1 Alo..Y t'kakt, \roof sve.m an hume <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 141 DD. 0 0 <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: C-25- o y <br />