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t. <br /> - I�ay-11-2b06 02:33pm From-CITY OF ORONO +9522494616 T-376 P.0�1/002 F-371 <br /> • �1�C.� ` � <br /> Total Fee: � � �� Yl►ate 17eceir�ed: <br /> E�tte�-ec��y: a.r c� �, c� , Permii#• .� <br /> CITY ��' Q�ON� - BUILD�TG� PE�MIT A�'PLICA,TYpN <br /> All informatiam m�st be s�bmittec� in fnll before plan review will be st�rted. <br /> (pleas¢p�rint all infor,►natiorr) <br /> __. <br /> _......__.--__-----__--__.._.......,.---------------------��-�---------------- - ---------- --___----- <br /> T�APPLICANT YS: (circde ane) OWNER O O�NTRAC�'QR <br /> JQB Six� ADDRESS: _15�U rn i r!n �E �1J�- ZIP: SS �N� <br /> WiII this be a Farade of Tiomes,Rempdelers Shawcase Home or other Display Home? <br /> ❑ Yes [� 1Va �f yes, a special event.permit is requrred with 1''olice Deparzrnent and City <br /> Council approva160 dczys pr.'c;to zhe evenr. 1�,fan-permitted evenas wiil not <br /> be allowed. <br /> rA1�7E OF OW�'�TER: �'�A Rk �' S IaCC�ItiL L��; 'Sc�;scnl <br /> P�TOr1E: (home) �s�-`�7/- �G 4s` <br /> , (work)_ <br /> NI,4ILING�.ADDRESS: /,5�C ,/j'l inn,� �L�'� CIT`Y': �,����-, o ZIF: S- �� <br /> � <br /> C01�T1�CTOR: , �o�o�� o�►�� e � P�ONE: S/-�US=d1 oS^ <br /> COl\"TACT PERSON: ta,r�/ (-�v�t I� 'ct�-, �VIQ SILE/�AGER <br /> 11�tAILI�TG ADD�SS: g�0 1 c+�t r (� �_ �r1 5��,����7CITY: F���n-.-� ZIP: 5'_. S�/Z / <br /> J <br /> sTATE �,ICENS�: # � �/ c� 3 �/53 <br /> �C�TYT�CT/ENGINEER: P�aNE: <br /> 11-IAILING ADD�SS: CITY; ZTP: <br /> NA1�ZE: REGISx12ATION# <br /> TYPE OF WC1R�: New ^ Accessory Structure � <br /> Additi nn Move <br /> RemodellAlterat�on Y,and Alteration <br /> p12QP48ED WQ�(describe in detai�: �'�p�C�,c��vY��_,r�' i.�! � � �o�s , ��� ,.�r, <br /> �""T -�} <br /> J <br /> S'x'UR�ES: SQ. FEET �F EACH FL�UI�: <br /> NO. 4�'BEDRboMs: GARAGE STaLLS: ATT. A�T. <br /> �_... <br /> �, <br /> ESTIMATEA CONSTRUCTIU:V' �ALUATION(excluding land): $�'`�Ty�� <br /> I hereby apply for a building permit ar�d I aclrnowledge that the infonnation above is camplete and accurate; that the <br /> work will be in confarmance with the ordinances and codes of the City and with the State BuzIding Code; that� <br /> understand this is not a permi#and work is not to start without a�perrnit; and that the wbrk will be j,n acGardance with <br /> the approv�d plan. „ . <br /> A�ri�ZCr�.NT'S SIGNAT�R.E: d(� �c�X� DATE: � / � <br />