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, . <br /> � Total Fee- $ Dat¢Received• <br /> Entered By: Permit#- <br /> CITY OF ORONO - BUILDING PERMIT APPLICATZON <br /> A�l information must b¢submitted in ttall before plan revi¢w wi�� be startcd_ <br /> (p[ease prtnt at!lnjb�ma[ton) <br /> THE A.PPLICANT ISc (circle one) OWNER OR CONTI2ACTOR <br /> JOB SITE ADDRESS= �S� grounW IQe-� 17 ZIP: �S S'�SO <br /> Wil1 this be a Parade oF Homcs�Remode�ers SLowcase Home or otl�er Dis��ay Home? <br /> QY�9 '�NO (j'yss, ��clo!¢v¢�at pe�mtt is.¢qut�ed wtth Pollc¢O�rtm¢n!and Cfty Cnunct!vpprovo/ <br /> 60 days prlor�o the event. Shvt!!e bus sarvlce wt!!ho r¢qv/rad�nless applicont desnorirtroee.r <br /> �cl¢nt on-s/rs porkJi.g is oval[abla. Nosa-p¢�mYtted¢v¢nfs wi!!i.��be ullowed. <br /> NANIE OF OWNER: T/0 N A $ �-- HlAR Q r NJ Gfar f��PHON�= �home) �S Z— V7L-� �� ` <br /> � n <worlc� <br /> MAILING ADDI2ESS- GSl� S�O�J..�N 1`ct]f � CI'E'Yc (�' .ra s+� ZIP- <br /> C(�NTRACT'OR= I.t�i ...�m.� B..�S�i f t<.c�s 2 pxo�: �S �— <br /> CONTACT PERSON: $p S .j�v a S -�1�OBILE/PAGER: �� - ��a� <br /> MAILING Ai�nREss:/0 8�o uJe�.,...� �\v.a�ITY: ZIY: SS�'/�'7 <br /> STATE LiCF.NSE: # �p�f��O XPIRATION DATEc .,3 a0 <br /> Ai2CHITECT/ENGINF.F R= PHONE- <br /> MAILING ADDRESS: CI-I-y: 7.iP: <br /> NAME• REGISTRATION: #t <br /> TYPE OF WORK: New Homc Addition Accessory Suucture <br /> Move Home Remodol/Alteration (ie: Siding, Window5) � <br /> Ariy eart2� movem nt may require., MCWD revinw and permits <br /> PROPOSED WORK(drscrlbe in detaln: [ <br /> �f- t.`� i�+��a.�r Sj1—� �'�t� r �L .� <br /> STORiESa SQ_FFFT OF EACH Fi,00Rc <br /> NO.OR BEDROOMS: GARAGE STAI,LSa ATTACHED DETACHED <br /> ESTIMATED CONS'TRUG I'ION VALUATION(ezcluding land): $��r_pQ+O� <br /> I hcreby apply f r a building perrtiit and 1 acknowl�dgc thst tk�e inFormation abovc is compl�t�and accurat�; <br /> that the work wiL Ix in conforciiance wIth the ordinanees and eodes of th�City and witl-i the State Buitding <br /> Code,that I understarid th9s is not a perrnit and work is not to start without a pern�it;nnd that the worlc wi11 be <br /> in a.ccordanco with t6e approved pl �, <br /> APPLICANT•S SIGNATURE: DA"I"E: '�'��Z�U� � <br /> 31 <br /> •aoaa3 asualsaa NSO�NSO `aoaa3 asuodsaa NOW�NOW `aoaa3 apo�a0��0 <br /> `aoaa3 alt�:�I.� `aanp a6pd 6ulnia�aa:2fl�Od `aan0 ql6uai 6u)nla�ab:a�0� <br /> `IIn� �caoaaW:iin�-W `�tsn8 :�csn8 `pasn}aa �dia�aa :asn�aa <br /> `aar�sud oN :sud oN `anui�uo� :�uo� `aoaa3 aa410 �9N `13.L woa� Xb �'13.L <br /> `��0 u�1i+�S aa+�od ���0-�Id `uot�p�tunwwo� do�S �NO-S `710 uoi�p�tunwwo� :NO 1lnsaa <br /> xe� �auaa ui •xtl�-i <br /> •xe� ssaapptl dI �HdtldI •xe� d�S •dIS •uryaTTnB •1f19 �ier�uapr;uo� •X9W ' eTaa :h1H <br /> 'X1-aa :X1H apo�-� •3U0�� ieur rao Ter�adS .dS �uor��aara 6urpurg paPrg-a7qnoU :UN9 <br /> �xe�-�d •�d •Paemao� Qro� ��HS� JHS� 'X1 ienueW :�'1tl� X1 Teur6iap paxrW :XIW a�oN <br /> 'X1 aSea3 aweaj :3W��'6ur��aS azrS 7eUr6ra0 :9H0 '6urTTod �10d 'X1 aawri :aW1 <br /> NO LOO/l00 ZE�00�00 8h�91 lZ-h0 919h6�iZZS66 <br /> a�oN �insaa s�utad awi�, awt�, �ae�s uot�put�sap <br /> OSL9 :�1. <br /> L8800DZ103ZOd 'ON Ip?aaS <br /> 6h�hl 800Z/lZ/90 <br /> � d �aodaa �Insaa w. <br />