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�69/2eJ2008 13:64 9529601843 ALLPROXTERIORS INC PAGE 02/03 <br /> . <br />� '. ' O � � . <br /> �`fzs.s �'�,• . <br /> q� <br /> Tota!Fee: S Date Rece'rved: `�-?,3 -D�' <br /> Entered By: � � Pen�a�t#: o�o�o �oa�S�- <br /> CTTX OF ORONO -BiJILDING PERMIT APPLICATION <br /> All iwformatio�u must be submitted in full before�lan xeWiew will be started. <br /> (please print al[information) <br /> THE APPLICANT�S: (Cirrle one) OWNER O CONTRA,CTOR <br /> JossrrE�,n�x�ss- �5 {--�� Cc-►�da� �f .00►.,d� .z�: 553R 1 <br /> Will this be a Parade o�Y�omes,Remodele�rs Showcase Home or otb�er Display Home? <br /> ❑Yes Q✓ NO If yes,a sp¢eial ev¢rr[permil rs required wtth Police Depurtment cmd City Caunci!ap,provcl <br /> 60 days,prior to ll�event. Shu[[!e bus servic�e will be required unless appliccmt demonstrates <br /> su,�'teient on-Site,pprlEing is ctvallable. Non perti�itted events wtl!no�be allowed <br /> NAME OF OwNER: � � �� (�1�VS� � �ONE: (�ome) 2 �� '$Z-� <br /> �,�,�� 9 <br /> MAILING,ADDitESS: �e. O�S �1�-CIT�: ZIY'- _,553� � <br /> CONTRACTOR: �LL pRo x�wORs,rnTC pgp�- �52)q�s6-7s�4 <br /> CONTA,CT PERSON: �i�i Ou. �n lla-- N�OBILE/PAGER: . ta 12 �LE -e7Pr�5 <br /> MAIL�N'G AriD�tE3S: 11235 EASTVI�OOU A,VENUE SE C�y; WATERTOWN 7,�p• ss3as <br /> ST,A,TE LICENSE: # 2o3aszzs F,�pIRA'TZO�i DATE• osr�tro9 � <br /> A�tCHITECT/ENGIlVEER: No� PHONE: <br /> MAIL�IG ADDRESS: CTI'Y: ZYP: <br /> NAME: REG�STRATION: # <br /> TYPE OF WORK: New Horr�e ,A,ddition ' A,cccssory Stxuctu�re <br /> Move Home RemodeUAltexat�on(ie: Sid�ixag,Windows) � <br /> Any earth movement may xequir.e MCWD review and permit8! <br /> P�OPpS D WORK(describe in detai�:_ �r o a„�� n�u� <br /> �.��s � <br /> STORIES: I SQ.FEET OF EA,CI�FLOOR:: <br /> �V'O.OF BEDROOMS: GA�tAGE STA.X,LS: ATT;A,CHED DETAC�ED <br /> ESTIMATED CO1�iSTRUCI tUN VALUAT�ON(excludivag;land): S � 6`d'� <br /> I�eteby app�y for a buildin,g�ermit and 1 ackncrwledge that tk�e anformation above is copaplete snd�ccurate; <br /> that the work will be in conforma�ace with tlxe ordinances azt�d codes of t1�e City and witk�the State auilding <br /> Code;that I understand this is not a pez�nit and wrnrk is not to stairt witbout a permit;and that tk�e work wiU be <br /> i,z�accordance wi,th the app�ovcd,plan. ; <br /> a��LxcArrT'S S�GNATU�2E: n�_ A,A,�: a3 0 <br /> 31 ' <br />