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Apr 19 06 11 : 45a Trebil Foundation Inc 3209748896 p. 2 <br /> �;l" <br /> �ti' <br /> J � <br /> Tota!Fee: S ` �., .� `.� D$te Received: <br /> Entered By. �� Permit#- ��t;`17�;� <br /> CTC'Y OF ORONO- BUIILDING PERMIT APPLICATION <br /> All informatian must 6e submitted in iull before plan review will6e started. <br /> (pJease prinl allinformation) <br /> TE[E APPLICAN1f IS: (c�rcle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ��a/ �aS�o /�n c n� l�d z�p: 5 5 3�1 J <br /> Will ihis be a Parade af Homes,Remodelers S6owcase Home or other DisQlay Home? <br /> ❑ YeS ❑NO Ifyas,a specictl event permir is regi+ired with Police Departrnent and Crty Counci!approva! <br /> 60 days prrar to the event. Shultle b:cs service wUl be reqrrtred unless appJican!dernonsrrales <br /> su�cierrt on-site parking is available. Non-permitted even�s wr[l not be allawed. <br /> NAME OF OWNER: K b rl p-��.S�a.� PHONE_ (home) q 5 a� `��1- D,5 3�' <br /> (wori:) <br /> ldlAILpNG A]DDRESS: ,>182 I C a-S co �°-1 l�d CITX: ��y��/�. ZIP: 5 s 39� <br /> CONTRACTQR: �.essc'(reb�1 r����i`dre �'t����S e%r.�.G PHONE: .��0- 9�N-�7 2 9 <br /> CON�'ACT PERSON: �s�c d r (��c.y- �L� MOSILE/PAGER: � <br /> MAILING ADDRESS: �p o �Le a.s a�� .4yc u� CiTY: �'¢r�.rJ a��' ZIP: � �d 9 <br /> STATE LICENS�: # �( - �o�/�,/h�/�9 E�PIRAT[ON DATE: � 3 r o r7 <br /> ARCHITECTIENGINEER: PHONE: <br /> MAlLI1VG ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Slructure <br /> Move Home Remodel/Alteration(ie: Siding,Windows) _��� <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(descrihein detai�� �Z,,,s f�.t.c 3 v✓�E-! cr-s�e�z�.�-.r ,�-yl S�E c� <br /> �,�2P� a-•�.�C L�tl,eJ�CX. , C�'e<fi' l/ N /�z U rrte-rwl�cu�-$! /7rrx.� F,ie. ��/�-r� /���f- � <br /> ��S-r-;�5 ,'�"lQ. <br /> STOR�ES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHEI) <br /> IESTIMATED CONSTRUCTION VALUATION(excluding land}: $ ��`7�.� <br /> [hereby apply for a building permit and I acknowledge tt�at the in£ormation above is complete and accurale; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Codc;that I understand this is not a perm- d work is not to start without a permir,and that the work will be <br /> in accordance with the approved p . � <br /> �IPPi,ICANT'SSIGNA7CURE. ti-' I DATE: `�//6/J 4(0 <br /> 3l <br />