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Ju1-17-2008 10:58am From-CITY OF ORONO +9522494616 T-T26 P.002/003 F-698 <br /> Total Fee: $ n�►te�teceived: <br /> Entered $y: �ermii#: <br /> CYT'Y O�' 0170N'O - �Y7YY,bY1�T� FERII�IT APPLYCATYOI� <br /> Atl information must ba aubxnitted in full before plan review will be started. <br /> {please ptint all inforrnation) � <br /> THE APPLICANT iS: (circle one) OWNER O CQ1�I`I'RACTOR <br /> � <br /> so�srT�ann�ss: �v�.� �1-� �y��'� R-�d�e zr��: �3�t � <br /> 'Will thi� be a arad� of Homes,�emodelers Showease Home or other Display IIome? <br /> ❑ Yt',S 0 rfye9,R SpeCial event permit is reguir�d wirh Police Dep�menr urr�Ciry Councr(approva! <br /> 64 days prior to the event. Shurtle bus seryice will be reg�uired unless applicunt demor�.sitates <br /> su�cient on-srle parking is avarlable. Non pet'mitted events will nr�t be alJowec� <br /> NAN�OF UWNER: 1�a� k.�,U,�s s� ��or��: �om��a�.-'�1��`� <br /> MAILING ADDRESS:���l�V���-c�ou�'�CXT'Y:��{2�,-�q (woZIP_ " l <br /> CON'TRACTOI�:Pq(Y1,P�"iC�tn L�''��.C�YCE'�C,'��• PgON�:q.`�,"?0"1�(d15�1 <br /> CQN'TAC'TP�I7SON:(.�iaha �c,1�►_lie e�- M4BIL�'A���2: <br /> 1v�AY�.1NCEiDDI"tESS:o`� '— iC� l P-GI-� 0� CITY:'L�u, nSVil�-Z ZIP: �`l <br /> STAT�C LICENS�: # �D1 3�3 EXpT�.2ATXQN DATE: �f�� <br /> ARCHITECT/EN�INEER: PHONE: <br /> MAXLTNG ADD.RESS: CIT`Y: ZIP: <br /> NAME: �.EGISTRATION: # <br /> TYPE OF W4RK: New Hame Addition Accessory Structure <br /> Move Home Remodel/Alteration{ie: Sidin�,Windows) <br /> P.ra,y earth mcvemen� may requira MCwD review and permits! <br /> ].'�tOPQSEA WORK{describe in derai�:�2G�.r t��„�'P�"0� _ � <br /> STORIES: � SQ.FEET O�E.AC�FLQqR: <br /> NO. OF BEDROOMS: G�AY2AG�E STA.�.�,5: ATTACHED �3�TAC��D <br /> vc) <br /> ESTIlIRATED CONSTRUCTI�N'VALUATION(excluding land}: $_�, ��. , _ <br /> I hereby apply for a building permiti and I acknowl�dg�that�he information above is complete�nd accurate; <br /> thaz the work wi}1 be in conFormance with the ordinances and codes ofthe City and with the State BuiIding <br /> � Code;tliat I tuiderstand this is not a permit and wark is noY to start withaut a permit;and that the work wi 1]be . <br /> in accordance with the appravesd plan. . <br /> AY'PLICANT'S SIGNATURE: +���"t''''-"""'�1� � bATE� O� "I� �a <br /> 31 <br />