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:.4c-13-2004 10:47am From—CITY OF ORONO U!�1 <br /> U� 9,322494616 1-296 P.001/002 F-538 <br /> Total Fee: $ <br /> 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 /> (please print all information) 1' <br /> THE APPLICANT IS: (circle one) OWNER OI CONTRACT R> <br /> JOB SITE ADDRESS: )S5 ���0 P 0042-S PIN .ZIP:5� ) �p <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> E 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 O`VNER D fl PHl NE: (home) S y 7�aOS <br /> (p/,-`=i4 6- I Ll0 <br /> MAILING ADDRESS: o <br /> J S Le S 0 y no ocx�S LC CITY: /1 ZIP: Sa <br /> aSL <br /> CONTRACTOR: rl-v.,e i i 4 i 1 AWL, . PHONE: <br /> CONTACT PERSON'. EL V1 ♦ i iViat M$e: <br /> MAILING ADDRESS•.:.1. IEE/PAGER: ��I�� ;��- <br /> _L CO b (Z •;ck V, CITY: &7r p i G ZIP:5-3q 3 } <br /> STATE LICENSE: #ao3. . <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: <br /> NAME: ZIP: <br /> REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/Alteration X Land Alteration <br /> PROPOSED WORK(describe in detail): V/ v <br /> n-F--Fi L <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $____51.10_01:Z4:____ <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: /4 <br /> DATE: _ZZ- /S -ey <br /> SEC 11. 2fin# <br />