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Feb, 9. 2007 11 :27AM No, 4122 P, 1 <br /> . � <br /> � <br /> Total Fee: S_ 98.� � DateReccived: <br /> Ebtercd By: Permit#c _�f��� <br /> CI'Y'Y OF ORONO -BUILDING PE T A,PPLICAT�ON � � <br /> All information rnust be submitted i�u full bcfore !an rcv�iew wiU be started. <br /> (please print a[l informali n) <br /> ._____�- --.— _�__- <br /> T�l�+ A.PPLICANT IS: (circle oae) OW�TER O CpNT"RACTO <br /> aos srrE a��n�ss: 133� ���j I�a o( (� z.�: ,��"d <br /> Will thic be a Parade of Homes,Remadelers Showcase Home or otder Display Home? � <br /> ❑ Y'CS �NU /f y�s,u special eveni�rmit is reguired wilh Police 1'�epur(ment and City Cor�ncil approva! <br /> 60 days prinr to lhe event. Shultle bus ser�ice will be required unless applicant derrlonstrates <br /> �cient on�site pprking is a►+ailable, Non permitted evenrs will nol be allowed. <br /> NAtV1E OF OWNER: �a I � �G�C h PHONE: (ha�ne�l.�o? -l/7�-a2`��1(� <br /> 13�0 �W�� <br /> MAILING ADURESS: �,`!y � G c[�: 1'bn o zYP: �5 <br /> CONTRACTOR: Ck �erer �rOS,�.v r,���.�Q• PHON'E:952-Z'11 � I F�� <br /> CONTA,CTPERSON: , .. -j"�u�Q� ` MOBYY.,F,✓PAGEIt• <br /> MAILINGADDRESS: 10'151 Exeel�ror RL � CITX: �-{p n 7�Yp; 5r3!k3 <br /> STATE LICENSE: #_ ZpZ 3q 3 14 q EXPICtATION DA E;_,3 J D'7 . <br /> ARC�ITECT/ENGINEER:�� P�TTbNE: <br /> MAZLING AD�RF.SS: I CI'Z'Y; Zip; <br /> N�� REGISTI2ATION: # <br /> TYPE OF WORK: New l� ome Addition Accessory Structure <br /> Move tome Rem�del/Alteration(ie: Siding,Windows) >c <br /> PROPUSED WOY2K(descr be in detai�: ��r�0� ���C2I►�en f � <br /> STOIt1ES: SQ.FF;ET OF EAC�I FLOOYt: <br /> NO.UF BEDR04MS: GARAGE STALLS: ATTACHE� D�;T�,CHED � <br /> ESTIMATF.D CONSTRUC �ON VA1.,UA,TION(excluding land): $ 3f o�.3� � ' <br /> . 1 hereUy apply fnr a Uuilding p it and I aeknowledge that the information above is complete aad accunte; <br /> that the wark will be in canfo ee with the ordinances aud codes of the City and with the State Building <br /> Code;that I understand this is no a permi d work is not to st�t without a permit;and that the work will be <br /> in accotdancc with the�pprovc plau. <br /> APPLICANT'S SIGNA .: � pp��; <br /> 31 <br />