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�, (01(v��'.� <br /> c�`' ,�, <br /> � <br /> � <br /> , Total Fee: S �7 D. Z S� �' ��` Date R�eceived: lo-J�'D7 <br /> Entered By: Permit#: ;�i'� �9//�� <br /> CITY OF ORONO-BUILDING PERNIIT APPLICATION <br /> Ail information must be subrnitted in full before plun review will be started. <br /> (pltose print all infornwtion) <br /> THE APPLICANT I3:�30��1rcle one) OWNER O CONTRA►CTOR <br /> JOB SrrE AnDx�sS: �1�Q�9-�� ��, _ zr�: 1 <br /> Will thi�be a Parade of Homes,Remodelers Sho�vcase Home or ot6er Display Home? <br /> ❑Y�S IQ�a !f ye�a special event permir is required wi[h Police Doepwtmerrt and City Cour�il appraval <br /> 60 days prior to the event. Shutlle bus service well be required unless applicant dernonclrates <br /> s��cterrr on-site parking is available. Non-permilled events wfll nat be allowed <br /> NAME OF OlNNER �j 1� l 1''L,��'1'' PHONE: (home) �l l,.�- ��� <br /> 11�AILING ADDRESS:�i�1] ��P l(1��Q..CITY: (�7iP: <br /> CON3'RACTOR� PHONE: 1��,��I-�� <br /> CON'TACT�ERSON: MOBILE/PAGER: <br /> MAILING ADDRESS• CI1'Y:�,�_ZIP: <br /> STATE LICENSE: # EXPIRA7TON DATE: - �- � <br /> ARCHITECT/ENGINEER: PHON +': <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessoty Stiucture <br /> Move Home iZemodeUAZteration(ie: Siding,Windows) � <br /> Any earth movement may require WD review and permits! <br /> FROPOSED WO (describe ln detai�: <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACl3ED DETACAED <br /> FSTiMAZ'�D CONSTRUCTION YALUATION(eaclnding Isn�: $ ��l�l ] 1 <br /> I hereby apply for a b�ilding Qermit and I acknowledge that tfie information above is complete and accurate; <br /> that the work will be in confortnance with the ordinancss and codes of ifie City and wid�►the State Building <br /> Code;that I understand this is not a permit attd work is not to start without a permit;and that the work wi ll be <br /> in accordance with the ap�xoved plan. <br /> APPI,ICANT'S SIGNATtJRE: . 1 ' DATE: " - � <br /> 31 <br /> Z'd 5ZLL6££Z69 �(uedwo� aeydo� e41 e6L�Ol LO 50 �nf <br />