2004-P07560 - re-side - Laserfiche WebLink

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� . � Total Fee: $ Date Received: Entered By: Permit#: CITY OF ORONO - BUILDING PERMIT APPLICATION All information must be submitted in full before plan review will be started. (please print all information) ------------------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: __ /� � � — I��- � /� �f�� ZIP: � ,> � � Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? ❑ Yes ❑ No If yes, a special event permit is required with Police Department and City Council approval 60 days prior to the event. Non permitted events will not be allowed. NAME OF OWNER: ��c� �J -� /� � ( T c� t�✓ C��S pHONE: (home)_ �-{� 7� � �j l,� � `� � /�, (work) j ��--�Yz--�_ MAILING ADDRESS: �7 ;7 �7 " ��-'L�' ti7"Z,CITY: /�J �i�' ZIP: _`-i��;�� � L�-'1-cr Yc�� CONTRACTOR: �� /D�� f �o �-�--�L,G�� PHONE: � �7 � ' �� ,� � CONTACT PERSON: �c �, MOBILE/PAGER: MAILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: _ j�� /�-- PHONE: MAILING ADDRESS: CITY: ZIP: NAME: REGISTRATION # TYPE OF WORK: New Accessory Structure � Addition Nlove RemodeVAlteration � Land Alteration PROPOSED WORK(describe in detain: J -�-t _c� r � C�� -�-e�S? r�L��j�� STORIES: _� SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: GARAGE STALLS: ATT. Z-, DET. (..! ESTIMATED CONSTRUCTION VALUATION (excluding land): $� �� O O I hereby apply for a building permit and I aclmowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with the approved plan. APPLICANT'S SIGNATURE: ,��9-L-�V�� DATE: �P �