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CARGTLL - BENEFITS Fax�952-984-0500 Rpr 18 2006 11�09 P.01 <br /> , �� , �s��._ �.� 7- �{ � � j�' f / <br /> � � �-�� ��°� �'/'�" �� " T <br /> /3� . �I DateRec�►ed� �-/�-l��v <br /> Total Fee: S_ ' <br /> Entered By: Ll�t��j �/7� Permit�: �a � � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All informatioa must 6e subroitted ia�ull before plan review will be started. <br /> (pl�Ase print all 1►�f'ormatfon) <br /> ___..��..—_----- <br /> .._.....��. ��.�..,.�_____-- ...�. <br /> THE APPLICANT IS: (circle one) OWNE R CONTRACTOR <br /> aos srr�,a,Dp�ss: L i��n S � zrn: ��..�- <br /> Will thi�be a Ps de af Homee,Remodelers Shawcase Home or ot6er Display Home? <br /> �YeS p ,(f yes,a spscia!avent permit fs req�ui►'ed wilh Police Department arnd City Cow►ci!approvol <br /> 60 dup�s priar lo�he even�. Shunle bus servfce will be reqaircd unless applica,rf demona�rafsa <br /> su�cienr on-.sile parking is availabJe, Nan-per,nitted eventa wil/nor be allowed <br /> � ' 9 -4��,-7,� �. l <br /> NAME OF OWNER: �-L l � �'"'n HONE; (home) 3�' `7 <br /> � • �V/� <br /> �.nv�An <br /> nx�ss:�b� L���, ,r � �''c'rrY: �a cwaz�: q `� <br /> CONTRACTOR: -S P ( � PHONE: <br /> CONTACT PERSON: MOBTLE/PAGER: <br /> MAILING A►DDRESS: CITY: �,,,._�: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARG'I�TECT/ENGINEER: `s��'F PHONT: <br /> NiAILING ADDRESS: CITY: �: � <br /> NAME: REGISTRATION: # <br /> TYFE OF WORK: New Home � Addition Accessory Structuce <br /> Move Hvme Remodcl/Alteration(ie; Siding,Windows) �� <br /> Any earLh movemeat may r�quire MCWD.review and pe it�l <br /> p oP0 ED WORK(descrlbe in detai�: (�L� a�� � �u�'r''^� '� �°�`� '�h�� <br /> �ec. � - r <br /> �� /� '�/I � <br /> STURIES:����t SQ.FEET OF EACH FLOOR: �- � <br /> NO.OF BEDYtOOMS:� GARAGE 5TALLS: ATTACHED � DETACHED_ <br /> ESTIMAT�D CON3TRUCTION VALUAI'ION(excluding land): $ � O�i <br /> [hereby apply for a building permit and i acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City sad with the State Building <br /> Code;that 1 undetstand this is not a permit and work is not to starc without a permit;and that the work will be <br /> in accordance with the approved plan <br /> �. �,�� <br /> AppLICANi''3 S.IGINATURE: � � DATE: <br /> ��` � � ��� , � <br /> j� ��,�p,d� 0`c��'°�' °'� �'' 3��,�-`f 7/-��, d 7 � �c �-�''�' � <br /> �?(��... � �`�'�`�-� � . T�f <br /> .�., . ��� � 2 <br />