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� , � <br /> Total Fee: $ � i � �J�'' • �� Date Received: �j �� �U� <br /> Entered BY� �-7 C i��J ����� Perrnit#: � ��C��(�� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> �, <br /> � � <br /> All information must be siibmittecl in full befoi•e plan i-eview will be started. � <br /> (please pf•int t�lC infor»r�rttio�z) � <br /> -- -- ---- ---- --- - ---- ---- ----------------------------------------------------------------------------- - <br /> �IIE APPLICANT 1S: (circle one) OWNER OR CONTRACTOR <br /> , <br /> � � � �-,i � r ,�i���� _��'a����i� ����( <br /> JOB SITE ADDRESS: 6 �.5, �c�c y ZIP: SS =�� <br /> � <br /> Will this be a Parade of Homes, Re� o c� oc• other Display Hon�e? <br /> ❑ Yes ❑ NO If y�s, a special eve�zt permit is rec�uired tivit/T PoCice Deparrnient mac�Ciry Cou�2cil approval <br /> 60 d�i��s p�-ior to the eve�tt. Sl�i�ttle bars se�vice tivill be requi�•ecl cnzless applicant der�iaistrates <br /> sufficient on-site pm•Icing is available. Norz-perrnitted events ivifl not be allowed. <br /> NAMEOFOWNEIZ: _��___��l�y�yyiei,��- L[.Cpg�NE: (home) <br /> T-��-- work) -�a <br /> �//5 � <br />, MAILINGADDI2ESS:�� � p �_CITX: �/'b,-�o ZIP: 15� _ <br /> COl`1TRACTOR: �� t PHONE: � k ,4 � <br /> CONTA�T PERSON: /` ' MOBILE/PAGER: �$.�.� �c,�L1_ �,[�� <br /> MAILING ADDRESS: y., /1 ��.� CITI': ZdP: <br /> STATE LICENSE: #����c.fp EXPIRATION DATE:__�/3,Io.�_ <br /> .� <br /> A,RCHITECT/ENGINEER:g� (��,�_�tcr �G,r ��c��'��ONE��3) S3S-a7 y(� <br /> MAILINGADDIp.ESS: 3�� �.��,r�_��,�k N CI�"i': ZIP: ��Ty,2 <br /> N���� REGISTRA ION: # <br /> 'I'YPE O�' WORK: New � Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PRO['OS�ll WORK(describe i�z detai�: �v,1 w�„� ��,y e` — /�e� ���. <br /> ��o���s: _�_ s�.����o��;ac�€��.00�: ���. ��a8 �' l�se�.�,►�- <br /> No. o� �E��oo��s: � �A��� s�r��,�.s: ����cx��� ���r�cf���_ <br /> ES I'INIA.7'ED C01�1S'T�ZI1C'�'t01�1 VAL1JfL�'�ON(excluding land): �_� 3�SQGl(,) � <br /> I hereby apply for a building permit and I acknowledge that tlle infonll on above is complete and accurate; <br /> tli�t the work will be in confornlance�vith the o �Iances and codes '� the City and with the State Buildiiig <br /> Code;tllat I undei-stand tliis is not a pennit a wo k is o o start� thout a pernlit; and that the work will be <br /> in accordance with tlie approved plan. <br /> APPLICAN'I''S SIGNA"TiIR�:: ��T�; <br /> G=—,i <br /> �l <br />