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JUN.2.5:200 12:12 6127229754 004Nfi4/GP.RLOOK FRENCH ROOFING #5245 P.004/006 <br /> diN <br /> Total Fee: $ //3.6 Dote Received: 6- D <br /> Entered By: ' = Permit#: P 670b <br /> CiTY OF ORONO - BUILDING PERMIT APPLICATION <br /> Ml information must be submitted in full before plan review will be starl:ed., <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRA.CTOIt <br /> JOB SITE ADDRESS: IUD : . . ' . n -+It't ZIP: Gc.739 <br /> Will.this lie a. Parade of Homes,Remodelers Showcase Hom.e or other Display Home? <br /> Yes 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: RD\2•er ` m fl1 PHONE: (home)°Y'a --lciDJ <br /> (work) c' 5 -h <br /> MAILING ADDRESS: qp O\ . LM .\ 16/41 Rrh•S CITY: Ours ZiP: S 5'7,91 <br /> CONTRACTOR: Gar1D( - Yves( , "01)fi$;1 ( Op • PHONE: Ula-1aa--I Iel <br /> CONTACT PERSON: por1 CAIN(iFay MOBILE/PAGER: <br /> MAILING ADDRESS: a3 1;11 eplYr a id-• CITY: �. ZIP: �a -3�•0(p <br /> STATE LICENSE: # ()DO 1 1y p,-2, EXPIRATION DATE: 3 tailp 5 <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 7t <br /> PROPOSED WORK (describe in detail): RepGtL . • ' T&& r <br /> QDM 'CODE v I f C.Ai . w eYl horse <br /> ow.uywkoyt <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. Oi+BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 9, DD. DO <br /> 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 I3i.ii.l.ding Code; that I. <br /> understand this is not a permit and work is not to start without a permit;a.n.d that the work will be in accordance with. <br /> the approved plan.. r <br /> APPLICANT'S SIGNATURE: .4. o�Z • <br /> �y 141 DATE: C y <br />