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� 7_Z��O� <br /> . <br /> .�� <br /> Total Fee: (� I� �� � Date Received: �'z��6 <br /> Entered By: Permit#: �/D/S�� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before �lan review will be started. <br /> (please p�•int all info�•mation) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (ci�•cle one) OVVNER OR CONTRACTOR <br /> JOB SITE ADDRESS: !s �� ,1�d hrl.s ��`��"(p'C� ZIP: <br /> Will this be a Parade of Homes, Remodelers Show�case Home or other Display Home? <br /> ❑ YeS �NO If yes, n special ever7t per•mit is f•eguir•ed tivith Police Departrr�ent and City Cozrncil app�•ovaJ <br /> 60 days prior to the event. Shuttle bus se�vice wil/be regi�ir•ed z�nless appllcant dernonstrates <br /> si�cient on-site park-ing!s available. Non-per»��itted evet7ts will not be allol�ved. <br /> NAME OF OWNER: ,��"���f j.�'�'��'�i PHONE: (hon�e) <br /> �/ �� (wock) <br /> MAILING ADDRESS: ��,�.S ��n;S P'�'�ko',CITY: Oh ZIP: <br /> 1 LrS�I .1�A��� UjK�I: rSJFTtt� <br /> ^,���CONTRACTOR: _ PHONE: �1 Z-�Qp —�j1,,3� <br /> �;� CONTACTPERS N: • '� "& c ;;;� OBILE/PAGER: �(Z- �Qo —/03� <br /> � MAILINGADD - __----____ ����� CITY: ZIP: <br /> STATE LICENSE: �4� Z p c� / '7 6 t�,� � PIRATION DATE:i�� �3 � ��� <br /> ARCHITECT/ENGINEER: ��G�l�' qt�on� L1��`. PHONE: <br /> MAILING ADDRESS: � CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure � <br /> Move Home RemodeVAlteration ���� � <br /> �--. <br /> �ROPOSED�WO�(��ribe i�detai�: v l.�n.�cc,�rn S� l.•i�.��S, �oS. ��r�� i(,� <br /> � ' °� , . �rtii�r-GEyt�c � <br /> S'TOI�I�S: SQ.�'�E"�'OF Et�CH�'�,OOI�: <br /> NO. O�'BEDROOMS: GARAGE STALLS: ATTACI�EI9 DE'I'AC�IEI� <br /> �S'TIIVIA�'ED COI��'TR�JQC'TIOIl�VA�,�1��'I�I�(exeluding land): �- _` g � ��. d f� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the�vork will be in conformance with the ordinances and codes of the Ciry and with the State Building <br /> Code;that I�inderstand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> ap��ic�vT'S SIGNATURE: �� . � /S� <br /> � <br /> DATE. D,� <br /> 31 <br />