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07/09/2067 22:57 6514303706 CRAFTSMEN HOME IMPRO PAGE 02 <br /> , \���\\ ,; <br /> , ���� <br /> , .X +" � <br /> Total Fee: $ �, �1�. ��J � � <br /> _ � �'� �-�[�' Date Received• �' I O �� <br /> Entered By: �'�'Yl hl� � Permit#• <br /> CI'I'Y OF ORONO-BUILDING PERMI'T APPLICATION <br /> All informatioa �nast be submitted in full before p�an review wfll be started. <br /> (please print all iRfor,nation) <br /> THE APPL�CANT IS: (cincle or�e) OWNER O ONTRA,C�'O . <br /> JOB STTE ADDR�CSS: a 7 3 5 eo�,H�►' s;d e D r. Q rp n r7 ZIP: 5�3S� <br /> Will this be a Par e of Homes,Rennodelers Shawcasw ome or otber D�splay Home? <br /> ❑Yes No Jf yes, a special evenl per�nte i�required with Police DeparlmenR and City Council approval <br /> 60 days prior�o the event, Shul�le buc.service wlll he required rmless applrcant de►nonstrpees <br /> su�j5cien�o»�s'i!e parking l.c avar/ah/e. Non permiffed evenls wi!/no�he allmved. <br /> NAME OF OWNER:�irn l`F��°`�,�i�r��er PHONE: (home)�/ot - 807-3 9�'� <br /> * (�'�'�) <br /> MAILING ADDRES3: 02 7 3 S �°d � JN:C�TY: ��-l�a ZIP: .5S3S`� <br /> CON'I.RA,CTOR: �`HONE: (DS!- `I i0 -�.o?�� <br /> CON7'ACT PERSON: MOB E/PAGER: <br /> MA,XLXNG ADDRESS: . 5, � ITY: �c�;_h c�__Z�:��„� <br /> STATE LICENSE: # �n.�-�o �- EXPIItATION AATE: .3/,T/�oo� <br /> ARCHiTECT/ENGINEER: PHONE: <br /> MAII.ING A,DDRTSS: CT�'X: Z1P: <br /> NAME: REGTSTRATION: # <br /> TYPE OF WORK: New Home Addition A,ccessory Structune <br /> Move Hom� R.emodel/Alteration (ie: Siding,Windows) � <br /> Any earth movement may requ�.re MCWD review and permits! <br /> FROPOSED WORK(descrihe in detai�: 'R eD L�E e (�.1.)1✓1���J 5 a� �w5�, <br /> STORIES: SQ.FEE'I'OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ES'T�VXAT,ED CONSTRUCTTON VALUATION(e�c�ud�ug laAd): $ `O 3, $4� <br /> T <br /> I hereby apply for a buildin�g permit and�acknowledge that the information above is cornplete and accurate; <br /> that the work will be in conformance with the ardinanees and eodcs of Yhe City and with the State Huilding <br /> Code;that I undetstaT►d this is�not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> 1 <br /> APPLICANT'S SIGNATtI�t - � DATE7 ��o -D 7 <br /> 3l <br />