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08f18/2006 13:60 7632410395 DONE RITE RESTORATON PAGE 02104 <br /> G�-� g -a a-�� <br /> ��a.�S <br /> TotalFee; � DateReceived: 8-��—��o <br /> E�te�red By: Permit#: Da2 <br /> CITY OF ORONO -BU�LDX�TG PERMIT APPL�C.A,.TXO� <br /> ,A,�l infor�ation� must be submitted ��n fu� be�'ore plan review will be started. <br /> (please print all information) <br /> THE APPLICANT�5: (cire[e ane) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: � O I �;� ��� 2�� 1�,�C ZIP;��� � <br /> Will this be a Parade of Homes,Remodelers S�owcase Home or othe�Disp�sy Honne? <br /> ❑Y6S �1v0 {f yes, a special eventrerrai�is reg�,cired with Aolice Department�nd City Cou�ci!approval <br /> 60 days prior to the event. Shuttle bus service will be rec�uired unless applicant demonslrat�s <br /> su�cienl on�site parking is avaidable. Non permrtted events will not be allowed. <br /> �iA.ME OF OWN�R:��1�'���j��/1'� PHONE: (home) � <br /> ( (work)�7�3—�J�o�3y(� <br /> MA.iLINGADARESS: ���� L�,' ►r�✓1�CTTY: F''�R�n�] ZIP: SS'3 <br /> cozv�r�.ACTo�:.`�r��. ��e.�.��,�.,�`�. Pxo�:763-�/-7. c <br /> - �� <br /> CO�V�'ACTPERSON; Ch�►�-l� � �►, � MOBILE/PAGER:� <br /> N�.�L�G A.DDRESS:1'�3�I��la la��.�a Q. />JA� CZ�Y:��1L_ �`�•1 ZIP: ��j <br /> STA'Z'E L�CE�VSE: #�b�"y�73 EIXPIRATION DATE: <br /> ARCHITECT/ENGZNEER: PI�ONE: <br /> MAILING,A.DDR�SS: CITY: ZIP; <br /> NAME: REGIST�t.A,TIO�T: # <br /> TYPE OF WORK: New Home � ,A,dditian ,A,ccessvey Stru.cture <br /> Move Home Re�,odel/Alteratioxa (ic: Siding,Wx�dows) �/ <br /> A,t7.y earth rnovement may xequire MCW review arvd permits! <br /> PRO,POSE ORK(deseribe in detai�: � [O r� <br /> l p?� S�"� s �?�a . � <br /> STORIES: SQ.F'EET OF EA.CH FLOOR: <br /> NO. OF BEDRO�MS: GA�tAGE S�'ALLS: ATT,A.CHED DETACHED <br /> ESTTMATED CO�TSTRUC'�'ION VALUATIO�T(e�c�udx�.g land); $ � Ob� ��o <br /> i hereby app�y�or a bui�din$parmit and I ack�.vwledge that the information above is cozn.plete and accurate; <br /> that t1�e wo�'�C wi�l be in con£ozmance with the ordir�at�ees and codes of the City at�d with the State Buildir�g <br /> Code;t��at Z understat�d this is not a perrnit arzd wor�C is start without a�etx�it;axtd that the work wil�be <br /> in accordance with the approved plan. <br /> APPL�C,A.N'�"S SIGNATURE: AA,'�'E: I�I , <br /> 31 <br />