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' ' � to'?,b�� <br /> Total Fee: $_ 3 b y�� Date RPceived: ���z-�/6 S <br /> Entered By: � Permit#: �,�q�� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (p/ease print al!i�iformation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- ...._� <br /> THE APPLICANT IS: (cij�cle o�ze) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: �I�,� �5��,a,�.,,� � ziP: SJ�3� / <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �'o !f yes, c�special event permit is r•eq2ured with Police Depardrner�t and City Cozrncil appr•o�-al <br /> 60 days prior•to the evef�t. Shuttle bus service tivill be requrr•ed irnless applicnnt denronstrates <br /> sz�ff cient on-site par•Icing is al�ailable. 1Von-per•i�rzitted events will not be allotived. <br /> NAMEOFOWNER: -JACk �\��-�. PHONE: (home) 5Sa-a�o- 36b'/ <br /> (work) <br /> 1VIAILING ADDRESS: lI�6 ���1�w�--•f � CITY: D'v�� ZIP: S�',� <br /> CONTRACTOR: C�rc� (Zte:�'�� PHONE: ���-- S!S�—(5 Y6 <br /> CONTACT PERSON: � Co r�es �;�T:,,•� MOBILE/PAGER: <br /> MAILING ADDRESS: Z j`�,��,.�,,,�y�r ; �� CITY: r�plz ��.uc ZI�': �.S�6� <br /> STATE LICF,NSE: # ,�o y y �`t' f�p EXPIRATION DATE: hi.���, 3/ ,o c'o <br /> ARCHITEC'I'/ENGINEER: P�IONE: <br /> MAILING ADDRESS: CIT�': ZI�: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition � Accessory Structure _ <br /> Move Home Remodel/Alteratioil <br /> PROPOSED WORK(descf�ibe in detain: �Tt,a.�,hC� (;.a�,.�, �cl;;�•c���, � <br /> � <br /> S'T01�IES: � �- Sf�,FEE'T OF Er�CI�FLOOR: <br /> I�10. OF BEDROOIVIS: GARAGE STELI.,LS: ATT'AC�IED �E'I'�CI'�[E��. <br /> �S'I'IIVIATED CONS'TI2i1C�'ION VAI.�JA'I'I01�1(excluding land): $ /�, a'� <br /> I hereby apply for a building permit and I acknowled�e that the information above is complete and accurate; <br /> that the�vork will be in conformance with the ordinances and codes of the Citi� and with the State Buildin� <br /> Code;that I un��ieistand this is not a perir�it and wo�c is not to start witl�otit a permit;and that the��ork wil l be <br /> in accordance with the approved plan. <br /> APPLICAIeiT'S SIG�tA'Ti1I�: DA'I'E; `U _�6_pS <br /> 0.�~ �t <br /> z o�,�c�s �- �- 3�03 <br />