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f ( I <br /> Total Fee: $ 5 60,&,� Date Received: /0-o)3 - <br /> Entered By: C'i Permit#: A// 03 <br /> • <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) OWNERR R CONTRACTOR <br /> JOB SITE ADDRESS: ZIP: S s-3 c7, <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes Fq'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: AoN+ s n H n.o ht/,"'rie<gy PHONE: (home) t Z) ',"7 3-YJa>, <br /> (Work(. 12) 21v 73 3 3 <br /> MAILING ADDRESS: v ©df'e.+ia tae en,.Y.tio CITY: m,--,il ZIP: Ix 3 91 <br /> CONTRACTOR: 4,4 PHONE:(d�z) Lbs CONTACT <br /> 3 2 <br /> CONTACT PERSON: „y crK.r N ‘-z--rt 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 Home Addition Accessory Structure X <br /> Move Home Remodel/Alteration(ie: Siding, Windows) <br /> PROPOSED WORK(describe in detail): .-..•-4. r;e,s sf r,,-e-iia b <br /> cs/f/til cy A-sv 17) LEA: A-t ry rN '7wO (l ) Cn,a c+n et et .i v x 2 d ' <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED X <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <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: Vwie . teL+-c-%-1-y DATE: 17«- 2z, 7,94-77 <br /> 31 <br />