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Total Fee: $ �� � �� " Date Received: f��/ � . �; r <br /> Entered By: ��Y2— Permit#: ,�,�'7 `;i�;'y <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please p�•int all infori�aatio�z) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (ci�•cle o�ze) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �,� C� � � �U� �` V�L�G � � �r� ZIP: ��5 3 ,� �, <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Y0S � �10 IJ:yes, a specral even!permit zs required wtth Police Departrnent and Citv Coarncil ap�roval <br /> 60 days pi-ia•to the ever7t. Sl�trttle bz�s ser•vice rvill be reqaEired a�nless applicnnt deinorrstrates <br /> si�fficient oa-site parking is avallable. Non�ermittecl eve�zts tivill not be allorvec% <br /> � <br /> NA11E OF OWNER: C � � w � 1 � ti � C � PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: S � � � CITY: ZIP: <br /> CONTRACTOR: 'C I� i��-� 1 C r U ' , <br /> PHONE: I Z� '-I� 9 " ��`Z <br /> CONTACT PERSON: r�c � MOBILE/PAGER: _S a�Z <br /> MAILING ADDRESS: (o G2, ' �'c�Wcc�� CITY: f1'171�/�' .ZIP: ~ Qi <br /> STAT�+ LICENSE: # 7 .� V1 l EXPIRATI01�1 IDA�'Ee C)`� 3 i d(o <br /> ARCI�I'I'EC'I'/ENGINEEIt: s P�IONE: <br /> MAILiNG AD,DRESS: CITY: ZIP: <br /> NAME: REC'rISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Hoine Remodel/Alteration (ie: Siding,Windows) �� <br /> �-- 'r <br /> PI20POSED V6'ORK(describe in cletai�: 1 �C� r � ��`�' ��C�(�OL <br /> S'I'ORIES: Z S�.�EE'�"OF'EE1CI3 F'LOOI�: 1 j d C <br /> NO. O� �EDItOO�IS: GEII�AGE S'TAI.LS: E1"["�'AC�-IED �E'g"�C�IED <br /> o� <br /> �S'TIIVII�'�'�D C01�1S'i'I�IJC'�"�ON VAL�J�'I'ION(exeluding land): � � 'S�0 � <br /> I hereby apply for a building pennit aud I acknowledge that the infonnation above is complete and accurate; <br /> that the work will be in conformance�vitl� the ordinances and codes of the City and with the State BuildinQ <br /> Code;that I understand this is not a pennit and work is not to start without a pennit;and that the work will be <br /> in accardance with the approved plan. <br /> L����I���Z'0����i�l����' : �����—_.,,,...-r �E�T'�' : '� � � � <br /> �l <br />