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Jun-O7-2005 02:09pm From-CITY OF ORONO +9522494616 T-112 P DOl/002 F-484 <br /> . ' <br /> � ��a� .� � _ �-�e -0 7 <br /> Tocal Fee: � Date Received: _r <br /> Entered Bv: Permit#: �D jZ_____ <br /> . �-.� <br /> CIT'Y O�' ORONO � BCi�,DY1�iG pERMCT AI'1'LICATION <br /> Atl informa�fon must be submitted in full before plau review wiU be started. <br /> (please print all infvrniariofY) <br /> T1�E APPLZCAl�iT IS: (circle one) O�'Vi�'�R OR CO_ �2ACTOR _ , <br /> J�UB ST'T�ADDY2ESS: � �, " ���`�� �Tp: <br /> Will this be a Parade of T�omes, k�emodelers Sho�r•case Home or other Di.splay T�o�e? <br /> � X85 ��i 0 Ijyes, a special evenr permrt is required wirh Police Depm-rm.ene and Ciry Council approval <br /> 6U days prior ro rne e�ai�r. S�ur„''a c:��sarvlGC�ri:�l t�e�e'.�:f�i'E'L�:i?���SS ut'.�711�?'?!!�P'7:�P.!'�•G�PS <br /> su�cier,t on-site parJa»g is avatlable. Non permltted events will not be allowed. <br /> h���O�OWiV'ER: � � r� ' p�t0:�1E: (home)�i; � 1 C` ��7� <br /> � (u�ork) <br /> iV�.AIL�'�iG ADDRESS: ��f�t�o`' �•����� � �: <br /> G'0\�'�--�CZ'�R: �113��.l�—T �� _ ���i��.' � 7�3 .)(j7f1 LT l G�.3 <br /> CQti'TACTPERSO�T• Y17t�- MOBIx.��:lPAGER: �vL� "r� �2.���[p <br /> MA�S:ING ApDRESS: �3:-.1��T" _�1-.�_�CITY:�•'.:r�t,/ i� `#t__Z�: <br /> STAT�LICENSE: # EXPIRATION DAT . ��,5%f'1-i <br /> �.RCHITECT/ENG��NEEl2: � �1�., ,��"s n '��;� PHOl�'E: l(.•?3 ;j' �Cl C3 ft�� <br /> �Z�TLL�'G ADDRESS: __C�TY: - ----ZIP: <br /> y��: REGTSTR.ATION: # <br /> TYPE OF WORK: New Addition Accessory Suucture �� <br /> Iviove Home RenlodeU�,.lte;-�tion <br /> PROPOSED W ORK(describe in detail): 4 - � t-�r � x � �r r�a �Cx'-C <br /> STORIES: SQ.FEET OF EACH FILQOR: <br /> �TO. QF BED�tOOMS: GARACx� STA.LLS: ATTAC�EIJ AETr�.C�l�_ <br /> ESTL'VLATED C4NSTRUCTXON VALUA'xXON(excluding land}: $ s � U� C�� �'rJ <br /> ' i hereby apply for a building permit and Z aclmowledge that the information above is co�plete and accl:rate; <br /> �st the wp;�will be in conformance with the ordinances and eodes of t�e Ciry and with the State Building <br /> Code;thst I und�rstand this is no�a pzrn.it�nd work is n�c to start wzthout 3 pezmit;and that t1�e work wili be <br /> �� accor�?snce �ui�h the approved plan. <br /> APPLICA.NT'S SIG:�'ATCJRE: � �` �'[,�----�. bATE: .� .�-�� " � "� <br /> 31 <br /> ri-,-?i_n��, TI_iF ai:�4Ph1 ID: PHrE; 1 <br />