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Aua'AUG:_ 7.2006m 11?,18AMTy OFKAUFMAN ROOFINGNI�`T�U V +95Z2494616 T-6�yp,829J1/UU�,2�qf f <br /> Tot�1 Fee: $; � �� � Y3ate Received: �� <br /> � Entered By: Permit#: <br /> � � CITY' OF ORONO -B����P��T APPL�CATYON <br /> �'��u ' d ' ull before lan review w►il16e started. <br /> �'�'� All informa�inn q�ust be subm�tte m f p <br /> (pleasepririr all infornaation) <br /> __..__ <br /> THE APPLICANT Y5: �circle one) O�TNEIt OR CONTR�iCTOR <br /> J'OB STTE ADDRESS: _,,,6 `1�C� D �C ��� _ZIP: <br /> yVill this be a Paxade of Ho�es,ltemodelers S6owcase Hotae or otl�.er D3ispIay I�o�ue� <br /> ❑ Yes [�_ No rfyes, a special�venr permit �S required wirh Police Depamnent and Ciry <br /> Council appYava160 days prior so rhe event. Non nerrnitted evenrs wzll noa <br /> be a1low�d <br /> NAME OF OWNER: PHONE: (home) <br /> [ 1 (work) <br /> MaII.,]NG aDD�SS: �J�1C� T'D X �J�' � CYT'�: (�Y'�n�la zIP: <br /> . - <br /> CONTRACTOR: �1�� � ��►� PHONE: �p ��-1 a�r D�(�S <br /> COI�TTACT P�RSON; ��ll,�'i�, 2- MUB�LE!$AGER; <br /> MATI.IN�G ADD�ESS: 5�.� a_��'^ CITY: ,�y� l(L S�ZYP: ,<��� <br /> 5TATE L�CENSE: # �'o�.`� _ <br /> ARCBITECT/ENGIlV��R: PHONE: <br /> MAYX.ING ADDIZESS: _ ,�C�TY: ZYP: <br /> NA�,,� REGrISTRATION# <br /> TYPE OF'WORYi: New Accessory Structure <br /> Additiot� 1YiaYe <br /> RemudeUAlt�ration Land AJteratioa <br /> PRO��P OSEb WORK(desc�ib@ in derai�; _ ��l��l.�� ,(le�1 � �N 1�� � '�. <br /> � `l�Sca.Y[� �t� <br /> S74RIES: SQ. FE +"T OF EAC��'LUUR_ <br /> NO. OF BEDROOMS: GA'R,A,GE STALLS: ATT. DET- <br /> cc� ' <br /> ESTIMATED CONSTRUCTION VALUA'TT0�1 (excludiug land): $ ��, �g�. — <br /> I he�eby apply for abuildi��pernnit aad T ackrtowledge th.at thc infozmauon abovc is complete and aceutate;that rhe <br /> wark vi►iu be in corifo�aace wiih the ordi�ances and eodes ef d1e G�ty and wi� ihe Srate Buildmg Code; tha�I <br /> undcrst�nd this is uot s persnis�nd.+verk is aot te st�t wi�out�persrsiY;and t�as the work vri11 be in aceardazsce with <br /> the approved plan. � ,,n <br /> . ���so <br /> APPLICANT'S SIGNATI�E: DAT�: <br />