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Total Fee: $ 70 5 Date Received: R*--Z ti r <br /> Entered By: OvL Permit#: JOU 90 3 Z <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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 500 (54-04-6 PaY k Q ZIP: 5S 3S Co <br /> l.cn L.a.ke Vu N. <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> Yes `t-'" 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 /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER 46lCk.(NIS/ PHONE:k `ate rNE: (home)CIS-2-ti7/0-03 73 <br /> (work) <br /> MAILING ADDRESS: 0rckLra . CITY:LOVl (st F-e ZIP: ss c <br /> CONTRACTOR: awtner PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail): ..1? V;I RE-�71�,19O AS <br /> N Et,D t� <br /> STORIES: 1 .5 SQ.FEET OF EACH FLOOR: 720 <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): S 2000.00 <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: -(2)-2.).A0 — DATE: 86z/0S <br /> 31 <br />