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<br /> Total Fee: $ --'��Z�' � ��Date Received: - y��� � �
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<br /> Entered By: , i ��`'r,,� Permit#: , %i %/G' �
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<br /> CITY OF ORONO - BUILDING PERMIT APPLICATION
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<br /> All information must be submitted ' full be�� plan revie �will �e started.
<br /> (please pt•'�it all i�tfo�matco�z)
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<br /> �HE APPLICANT IS: (circle o� �) OWI�T'ER OR CONTRACTOR ��.;,_,;-���--}{�-;'`� � ��--
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<br /> JOS SITE ADDRESS: n�'�� ��....� ._,�: ����- _-_.. .� :� :,�ZIP:
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<br /> ��i�l this be � Parade of Homes, Remode�ters Showcase I�ome or other Display Home?
<br /> ❑ `�'es �*�( No If ves, rr special ever�t permit is reqi�ir•ed tivit/i Police Departntent r��id Ciry Cou��ci!approval
<br /> 60 d�it�s prior to the event. Shuttle bus service will be i•equirerl unless applicant�lemonsd�rites
<br /> su�cient on-site parl�ing is available. Non per�nitted evenrs tivill not be allotived. ,.
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<br /> I�TAIVIE OF O�'VNER: �� ; �� �,��� �,� � ���, PI-�ONE: (hoirie) ��:.�;;�- �r�.�
<br /> ° �(,���d (work)
<br /> lO�AILING AI)D�tESS; ,�� �.� ,_;'�..�/�:,,m, �'��> CIT1'; �� ' .�.,�" ZIP - � �
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<br /> C'ONTRACTOR: ._.-� -�::; .._;,.�� ; � ��,� ,�� : a...�,. �;_.. PHON�: � F- ,.��
<br /> ; � ' - ... 1��'OSILE�AGER: �.���,-�' � �:� .,
<br /> CONTA�C'I'1'lERSON: ��l �.� . -= �.a.,��:.....1•.;.� .,. � � ,.;� �..Ta�;
<br /> MA.ILING AI)DRESS: :�` , ,�"�� ; ����.. �Y`I`�.': ZIP•
<br /> STATE LICENS�: #�r�'- ��^���,,� �.����� �XPIRA'Y'IO\D?►.'I'E: `� ��
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<br /> ARCHITEC'I'/ENGINEER: ,l� �� ;�;t ::. {.�',,.�"3 -,:�-� PI-�ONE: ��' ,' �-;` ,�,�''
<br /> P'IAILING AI)DI�.�SS:�°��`.�� ., .�� �, ,e ,�:: , CIT�':�i�,�:.r� ��!t,� ,�.Z�]P: �.� :":��> :,�
<br /> �AIViE: ���,.��,e` `, �, ,� %,:;;{ �GIS'I'�'I'�Oi>T: # �%y�-=y'�--�'
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<br /> 'I'3�'PE OF �i'ORK: Ne�v ;%.� Addition Accessory Structure
<br /> Move Home Remodel/Alteration
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<br /> �ROP�S����'O��(describe iri cletail�: �,,��`-' � l "�1�; .�- ,�,:.. . �-',
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<br /> ��'�R���: ,�', ��.�'��'iI"��'������'���t: ' . _ � r .. :
<br /> i°�T�. �� ��������5: ..,__ �A���IE SZ'�1L��; �`�'�'������_�� ��'A'�����_
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<br /> ���'I����'�� �'�i�'S�'�UC�'����zl��,�T���T (GX��LiC��lb��n��,�,�, �;P .-j%"�, , n -.',
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<br /> 1 hereby apply for a buildiny perniit and I acl:no�vledge that the infonnation abo is Lcomplete and accurate;
<br /> that tlie �r��ork�vil1 be in conformance tivitl� the or a ces anct codes of the C� y ana �i�itii tile State Buiidin�
<br /> Code; that I understand t11is is not a pernlit an -or' s � witliout pernlit; and that the work��iil be
<br /> in accordance with the approved pla?i. i ;�
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<br /> ����,�c��T�r'S s�����rt��: / - ����: c.�
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