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From:LES JONES ROOFING 952 881 7009 10/09/2008 12;11 #514 P.0021003 <br /> � . <br /> , <br /> � <br /> Total Fee: � ��� �/ Date Rece,ived: /O v o <br /> Entered By: Perwit#: /��''- DD oZ B'.h <br /> CITY OF ORONO-BUII.,DING PERMIT APPLICATION <br /> All informatiom m�st be submftted in fuU before pl�n review wi�be aterted. <br /> (please psint all�nformatitton) <br /> THE APPLICANT IS: (ctrcle ourt) OWNER OR NTRACTO <br /> JOB SITE ADDRES$: � G C» -��v�-O�) ��� . ZIP: .5�3 GI I <br /> Will thit be a P e of Homay Remodeler�Sbow�case Home or otLer Display Home? <br /> ❑YeS Ijyea,a special evuit patintt�s r�ud ed wlth Police Deparbnantand C3ty Comcil approval <br /> 60 daysprior tolhe ev� Shtdt[e bus servica wtll ba t�eqsrfiodunlats appltc�att denwrrstraAGt <br /> sr�'tetent on-sita park/ng!s availabla Non�ftted eva�ts will not be allowed. � <br /> NAML OF OWNER: �✓'c`�i n- ���a b s PHOIVE: (home) GTS�- � 70-�'�eZ� <br /> MAILINGADDRESS: 17'�c �'ta�r��.0�y CI1'Y: ��o�'-v C�Z1P: �53�7/ <br /> CONTRACTOR �..�5��+-P-����-i� �,�.� - PHONE: Q'S,� -�87-��-�� <br /> CONTACT PERSON: MOB � AGER: <br /> MAILINGADDItESS: CITY: a�. ; S'� � <br /> STATE LICENSE: # (��-l�o EI�'IItATION DATE: 3-3�f -d 9 <br /> ARCAITECT/ENGINEER ��_ PHONE• <br /> MAILING ADDRESS: CIT'Y: ZIP: <br /> NA1N�: REGLSTRATION: # <br /> TYPE OF WORK: New Home Additian Accessory Sh�uct�u�e <br /> Move Home R�modeUAlterarion(ie: Siding,Windows) <br /> Any earth moveme may require MCWD reviaw and permite! <br /> PROPOSED WORK cribe�n de�ru'n. � � e-�-r�,r- <br /> 2 G�r' <br /> �9�(.:-5� �"�c�;�-� � s� _ <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOM3: GARAGE STALL3: ATTACSED DETACHED <br /> ESTIIVIATED CONSTRUCTION VALUATION(ezcluding land): S �I''�-�� ~I� �'-�O <br /> I hereby spply for a bu�ding permit and I ac�caowledges that the informatian above is complebe and accurate; <br /> tbat the work will be in conform,ance with ti�e ordinancee 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;aad that the work will be <br /> ia accordanca with the approved plan. <br /> APPLICANT'S SIGNATURE: ATE: I� - q—d � <br /> 31 <br />