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� - . <br /> Tatal Fee: S �������� � � Date Rcueived• ' ��� <br /> Entered By: r7� �x— Permit#: I - - <br /> CYTY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information mast bc submitted in full beF4�plun review will be stsrted. <br /> (please print all'inforniation) <br /> '�'H�APPLICANT IS: (circle one) OWNER O CONTRACTO <br /> JOB SITE ADDRESS: I S O I �L�kc v i�w TEna�cE ziP: ss 3 s L <br /> Will tL�s be s�Parade of Homes,Y2emodelers Showcase Hame ur other Display�Yome? <br /> ❑Yes �Np 1'f yes,a s�cia/even!permil i�required with Palice Deparl►nent and C'iry C,'ownci!opprova! <br /> 6U days priur!v lhe evenl, Shurtle bus service will be requir�d urrless uNplicuN i/emonshales <br /> su�cienr on-sile parking is availuble. Nun permr�tecd even�s wil/not be allawed. <br /> �NAME OF OWNER: A wN # D�w,,;s TH�;s PxornE: ��) 9sa-�r�i-�e3 a. <br /> �►+'�) <br /> MAII.ING ADDRE5S: s�►e CITY: GIP: <br /> CONTRACTOR: c�►�rsa�g�v N•p+E 3n�ortn,�,�i.as �,�c . PHONE: 6 S l-�f�z�f -/�06 � <br /> CONTACT PERSON: �µN Q y p�a�1 MOBILE/PAGER: ���-9b I-y�.q� <br /> MAILING ADDRESS: � �M ss rQa�+c� �ue s.•�9q CYTY: �,p��a ZIP: �„y�s <br /> STATE LICENSE: # �.o a� o �P��f EXPIR.4TION DATE:__ _ 0 3 j o s"� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAII�YNC ADDRESS: C1TY: Z;Ip: <br /> NA►1v1E: Y2EGYSTRATION: # <br /> T'YPE OF'1�VORK: New Addition Accessory Struclwe <br /> Move Mome RemodeUAlteration � <br /> PROPOSED WORK(d�scrib�in detal�: Qe,,,.out E�s s rrN c. Sz n=.v� st�e <br /> iNST.A�LL _�ll��.J V�,�vyL SiDi�►JG. IV�w Vidyl. I�G�olr4Leinext wiw�eewS <br /> STORIES: SQ.�'EET UF EACH FLOOR: <br /> NO.OF BEDROOMS: GARACE STALLS: ATTACHED DETACHED <br /> o� <br /> ESTIMATED CONSTRUCTION VAL,UATION(excluding land): $ � �o b '� <br /> I hereby apply for a building pumit artd I aclrnowledge that the information above is complete and accurate; <br /> that the work wi11 bo in conformance with the ordinanees and eodes of the Ciry and witln the State Bwlding <br /> Code;that 1 unde�stand Chis is not a permit and work is not to start without a permit;and that the work will bc <br /> in accordanca with thc approved plan. <br /> . <br /> AFPLICANT'S SYGNAT[TRE: pAT�: ���I�' O� <br /> 3] . <br />