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. � � � <br /> . <br /> � j �j �� <br /> Total Fec: $ � `? �`� Date Received: ��7/�;r <br /> Entcred I3y: � �,�� Permit#• r ,c�t �--}- �O l(9�` <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION i� <br /> � <br /> All infor►nation must be submitted in fiill before plan review will be started. <br /> (please print all ififor•»iatio�z) � <br /> ---------------------------------------------------------------------------------------------------------------�----------- <br /> 'TH�E APPLICANT IS: (circle o�Te) OWNER OR CONTRACTOR �'�' � � <br /> �I�_,! _ ; �. _ , , . , , � ' ---_ !��� /s.����� y�-� <br /> JOB SITE ADDIt�SS: � ZIP � ���� � ��c�ic.�.�� ,sy� <br /> �� T <br /> Will this be a Parade of Homes, Remode ers owcase I3ome or other Display Home? <br /> ❑ Yes ❑ No If i�es, a speciul eve�zt per�nit is�-ec�uired wit/t Police Deparh�aent rnid Cih�Council app�•ovcal <br /> 60 rlc���s prioi°to the event. Shuttle bus se�vice tivill be reqt�irec�i�izless applica�zt cfe��io�zsti•ates <br /> si��eie�it o�i-site pcu-lci��g is availnble. No�i-pern�itted events tivill�zot be allorved. <br /> NAME OF OWNER: �) T�C 1����a� p���NE: (home) <br /> v <br /> MAILING ADDI2ESS: �CITY: �`j('p►�� (W�ZP:+�,�� � <br /> COle1T�ACTOR: PHONE: s ti ,q�,,� <br /> CONTA�'I'PERSON: n ' MOBILE/PAGER: �i��_9,y�� <br /> MAILING ADDItESS: �` /-�.��,L CITY: ZIP: <br /> STATE LICENSE: # �U��c�� EXPIRATION DATE: _3 3 ,d�- <br /> ARCHITECT/ENGINEER�f uc.e �-.G�+�d' �Gc.l�.��}� P�IONE:�7(Q3� ,�� ��,�y� <br /> MAILING AllDRESS: � U� G��_q ,4,1� N• CIT�': ZIP: _�'_�r � <br /> NAME: REGIS'�'][22A ION: # <br /> 'TYPE O�+' WORK: New � Addition Accessory Structure <br /> Move Hoi e Remodel/Alteration <br /> PROPOSED WORK(describe in detarn: �e�„J �a,,�� ��1� (C.,�•., �� ,C <br /> ���o���s: _�_ ��.������������,00�a:�v�.�:�, 1 S�� � <br /> No. a� ����oo�s: � �a��� s�r��,�,s: ���r�cx��� ����cx��_ <br /> � <br /> �;S�I'Ili'�r4.'TED CONS'T�ZIJC�TIOI�I VALL7r�'TIOA1(excOtdding�anci): � .::�'SiL� `� <br /> I hereby apply for a building permit and I acknowledge that the infonnation,, ove is coinplete and accurate; <br /> that the work will be in conformance with the or � �nees and codes of�� ' City and with tlle State Buildi�iQ <br /> Code; that I undeistand tliis is not a pei7liit an or is o t start w�tt� ut a penllit; and that tlie work will be <br /> in accordance with the approved plan. <br /> � <br /> APPLICANT'S SIGNATURE: ��'��; <br /> /�' <br /> G--� <br /> 3t <br />