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��0$�10�308 (�) 15: 36 CroomCor�truction FAX�: 952 929 4779 P. 001 <br /> � � � � ������� <br /> 0 C T 3 � 2008 <br /> . Totsl Fee: $ � . g �I�D�J'Ifl� DateReceived: CITY OF ORONO <br /> Eatered By: Permit#: �O 0&'–DO.�,S�Z. <br /> � CITY OF ORONO -BTJaLDT.NG PERMIT,APPLICATION � <br /> All informatioa mnst bc submittcd in full bcforc plan revie�vv will be start�ed. <br /> (please print all information) <br /> T�E APpT..�CANT YS: (ctrcle one) OWNER OR CO_�arTnR1 <br /> � <br /> JOB S�,A►DD�Ss: C� ZIP: S r�. 3Q 1 <br /> Wi�tb�is be a �radc o�Hooucs,Rcu�odcicrs Shawcasc Homc or othcr Display Home? • � <br /> ❑Xe3 �TO .�`'y�,s,a special eventpermit is required with Police Department cmd City Counci!qpprwal <br /> 60(lays p1'tor ro rhe evenr. Shurrle bus servfce wtll be requfred unless applfcmu demonstrates <br /> srt�clent on�sile parkireg is available. Nvn j�ermit[ed everus will nat be allow¢d <br /> 1�1',t�'N�O�'O'�VNER: a»d �,i� �l�SSO PHOIVE: (home)_�o51•2�� •9�S Z <br /> (wark) <br /> MA.ILI.NGADDRESS: Z�J' O�{ S�/l ��� :V_I�'L������ �..�t_39,! . <br /> �/ <br /> CONTRACTOR PH01�T�: <br /> CONTACTPERSON: �� CGt� �2„���0 ,AGE'lt: �p�Z.'�0�1,—�►Z alo <br /> ivr,a►r[.'ny'G ADDRESS: ' . <br /> 7�oP: �1� <br /> STATE LICENSE: # � . � _,_,_.1 E�P�.A'�'�O DAT�: .� <br /> �r�.1 <br /> ARG�T'EGT/ENGIrTEER: " �'ECONE- <br /> MA�ING ADDRESS: � C�TY: ZYP: <br /> N.A,N�: REG�STRA�.TION: # <br /> TYPE OF WORK: New Home Addition Accesso�ry Stxuc2u,re • <br /> Move Home RemodeU,A�te�catao�a(xe: Sad�a,g,Wix�dows) �� <br /> p,ny earzh movemenz may r�quire MCoo°l7 review anCi percnits: <br /> PROPOSED RtORK(describe in detaan:�F �en�c cow�sed�r . <br /> CO��I i��a w �1. es�'u„s dlt•TSo• S3qZ <br /> STORxES: � SQ.�ET OF .A,CSFLOOR <br /> �TO.4F��bROQMS: GAY2AGE STALLS: ATTAC.�iD DETAC�D <br /> ESTIM,A.�'ED CO�i3TRUC"�x4�T�'V',A.�XJt�TION(c,�ccladi�g land): $ ��'�c,�032 - �� <br /> I hereby a�1y�o�t a b,xi�diuog permut and X ac�Cnowleflge t'hat,the information above is complete aad accurate; <br /> that the work will be in conformance with the ordi�asmces amd codes o�tb�e City s�n,d witb the S�Buildivag <br /> Code;that I underst�d this is not a permit and work is not to starc without a�ernqat;aud rbiat rhe work w�Ul be <br /> iun accoxda�ace wi�tb,the a�roved p1a�;. _ <br /> ,AP'PY.xCANT'S STGNATURE• ��l J DA'�`E: �n <br /> 3l <br />