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. h � <br /> ♦ <br /> � <br /> Toi�l Fee: $ �/3, �.S D�6e Rerei�ved• <br /> Eute�ned By: ��� Pc►nnit#: <br /> CITY OF ORONO -BUILDING P�RZ1'X�'Z'APPLICATION <br /> All in�onnatioa m�ust be submuitbed iuo fuD before�lan review will be�ffirted. <br /> (please pr�rct al!inforrnotlon) <br /> 'IZ�E,APPLICANT IS: (clrcle one) OWN"ER OR CONTRAC.['OR <br /> JOS SITE ADDRESS: I� G'TD hlW UG�� ��_71P: 1 �3�� r l� <br /> Will this be�arad�of Hoaaes,Reioaode�ers Showcase Home or other Display Howe7 <br /> ❑�e8 No Tf y�s�a sp¢cia!evenf parmit is rsquired with Police De,�aru»e►u coed Ctry Counctl approval <br /> 60 daysprior Xo the event. Shu#!e 15usservice wil!6e required wileSs applicanrdemonslratps <br /> �cierrt on-site parking is uvqiluble. N�;permitted events will not be allawed <br /> l ��� ! <br /> NAME OF OWNER: �} q Si1�1[�"L` PHONE: (hozne) �b�� � <br /> . <br /> MAILING ADDRESS: �S tt� �I TY: D1�4ilD (�ZTP: � <br /> CON'�'RA.CTOR: r � ��` YHONE: sr-4 — RC�� <br /> CONTACT PERSON: , R/ MO�ILFJPAGER: D � l <br /> MAII..ING ADDRESS: O '� J CITY: Z1P: s <br /> STATE LICENSE: #Z EXPIRATIaN D,ATE: — ( <br /> ARCI�I�'ECT/ENGINE�R: PHONE: <br /> MAII.ING A,DDRESS: � CITY: 7.Ip• <br /> NE1ME' ..w/� REGTSTRATION: # <br /> r� <br /> �'YPE OF WORK: New Home Additioz� Accessory Shvctute <br /> Move Home Remodel/Altera�to�(ie: Sidi.z�.g,Windows) � <br /> Any e�rth movemen�t�ma requ MC rev w an ermits! <br /> PR4POSED W OR.K(describe in detail);� �L .�� <br /> STORTES: � SQ.FEET OF E,A►.CFT FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: AT,I'A,CAED D�TACHED <br /> �oao, o o �" <br /> ESTIMATED CONS'�iUCTION VALUATTON(eac�udimg�and): S <br /> I hereby ap�l�y�oX a building permit and I acknowl�dgt that tkxe ir►for�mation above is complete�d accuzate; <br /> that the wark wiI1 be ir�cozxfoz�.at�ce with the ordinances and codes of ti�e City�ind withi tb�e StaLe Building <br /> Code;that I understand this is rzot a pezamxt aud work is not to start without a peru�zt;and t�t the work will be <br /> ut accoz�da�ace with the a�proved plan. <br /> APPLICANT'S SIGNATLTRE�I�L��ZL ����,��/J DATE���_� <br /> ► <br /> 31 <br />