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Total Fee: $ � d Date 1Zeceived: 5l7 � <br /> Entered By: 1'ermit#: / � <br /> CITY OF ORONO — BUILDING I'Ea:�M�r�, �FPLICATIO�d <br /> All inforination must be submitted in full befo��e pl�xn review will be started. <br /> (please priizt all i»fot�i�irrtiorr) <br /> ----------------------------------------------------------------------------------__-----------------_____------__________ <br /> �I'�lE APPLICANT IS: (circle o��e) OWN�K Ul� CONTRA.CTOR <br /> JOB SITE ADDI�ESS: r � � ,�^ �/� �.IP: �-���.��- <br /> ;p�- j�-/ . - �'r-� S�o�c /3�4�' � �j <br /> Will this be a Parade of IIomes, Remodelers Sho�-case Hoi��e oi.• ott�ei•'l�ispla�y I ome'? <br /> ❑ YeS � NO If yes, a special eve�it perniit i,s requirec�tivilh Police neparbrient nt2d City Coarf�c�il�ip�rovc�l <br /> 60 da��s prior to the eve�at. SJluttle bus servic.e will be required an�less appliccnit deino�istrates <br /> st�fficient ori-site par•Icir�g is av«ilable. Nor�per�r�itte��'�eve�ats ivill izo�be a�lou�e�l. <br /> NAME OF OWNER: -� � �,�.����_ �'�����;��_ �a <br /> �-ax (�')_-`L-z�-������ <br /> MAILING ADD�tESS•� P � �G�1'1'Y� �'IP: ��� <br /> � .� <br /> COl`dT�2.AC7'OR: ��-S �U ��� �c.� �'F ION1C: <br /> CONTAC I'PERSON: �i 1��OB�LI./PAG�R: —��;-�s Zs Z�_��`f�v�' <br /> MAILING ADDRESS: .�„ !.� ��. C�"�'Y; _ �,��'; <br /> STATE LICENSE: #�Q�(� Cjc�C7 E�PIRA'1101`1I1�t�.'I'E: ��'��_ <br /> 7�3> <br /> ARCHITECT/ENGINELR: ��!'��.� L,���_�_ PI��I`dE: .�'�-�����o <br /> MAILING A.DDI�SS: r��� G�otY;��,��c: � = CI'�"�'� �r s��__;�IP: �'s a 7 <br /> NAN7E: �-°•. -t��h- l��G�S'I'l€�A'I'�)1�1: # <br /> '�'YPE OF WORI�: New � Addition _______ __ .���:cessory Sti-ucture <br /> Move Hoine Remodel/Alteratiot�. <br /> PI�O�'OSED WORK(describe iri detail):_���..�,7_ (� � r� c��rY; � �V'�1—� <br /> �T���� �1��, � --- --- <br /> ) �- c ,,�y <br /> �'�'OI�I��: .� ;���.�``SG���.EET��EA�;��k��.�4�g�e/ �� �� � �Sr,,��/ �y` <br /> Imi�. (��' ��DR0011'�S: �_ GAR�GE �'I'r�.�,g.,�e �'�.'�"�'�.��r��d,�.�. ��'�,r��;��.�A-- <br /> �S'TIIi�DA�'�L4�Ol�'S�'R.I1C'I'IOI�1 l�AI�LiAT'�01�1(e�cl��c���;���n�as.�)e � ��� � <br /> _-�---- <br /> I hereby apply for a building pemlit and I acknuwledge that the inforniatiou ab ve is complete and accurate; <br /> that the work will be in confornlance witl� the ina ces and c�des of the ��ity and with the 5tate F3uilding � <br /> Code;tliat I understand this is not a pernlit a work ��not to s �� '_� � � a�pei�l�it;and tllat tlie work will be <br /> in accordance with the approved plan. � � _� -- <br /> �--._.�_.. <br /> APPI,ICAN'I''S SIGIVATUItE: __�_ I)�.T'E: ��0 <br /> s', <br /> ,t'' , <br /> L—�'�y <br /> 31 <br />