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J <br /> � � <br /> i <br /> Total Fee: $ Date Received: �� �-Lr C'l- <br /> Entered By: ,�'r�'� � � Permit#: ;� i�,;�..;.�� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (cit•cle one) OWNER OR CONTRACTOR <br /> JOB SITEA.DDRESS: _ � y/ �/ ���4/fi,�,•/ �T���T- zrP: ��3 g/ <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special eventpermit is required with Police Depart»ient arzd City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonst���ctes <br /> sz�cient on-site parking is available. Non pernzittec�events will not be c�Ilowed. <br /> � / <br /> NAME OF OWNER: �l ��'L1�'� �-� �� / PHONE: (h�me)���. `��>-�3d"�l <br /> (work) 6/�-�/6 -t r 3� � <br /> MAILING ADDRESS: d�//�{ �'�}R�r1� ST6ee�r-CITY: �� �°�`� ZIP: S�391 <br /> CONTRACTOR: �" � y��� ���'�=� •�.f PHONE: 6/L- Z�g- 2,�� � <br /> CONTACT PERSON: � e c � MOBILE/PAGER: <br /> MAILING ADDRES S: y�Z W e�,z ,M�4�,.► Sr CITY: W A c oN i A IMNZIP: S�'3�i 7 <br /> STATE LICENSE: � ZoyDO�5 b EXPIRATION DATE: 3-31- 07 <br /> A.RCI3ITECT/ENGINEER:�A�l�eS �� D�lZq.. pH0_NE; ?6� -?gd-6a Gy <br /> MAILING ADDRESS: 8vd 9 ���-+T���. A���- CITY:�' �t��yL�,� ZIP: �.s�j� <br /> NAME: �`�/� � GL✓��itr,�i►.1� 6}SSoe, REGISTRATI� N: # �'e <br /> TYPE OF WORK: New Addition �_ Accessory Structure <br /> Move Home RemodeUAlteration y� <br /> PROPOSiD WOt'2�(descriae in detai�: ��/h a Q�L - �j��✓�� �R o,.�'<r'� c� <br /> �u u S� A.v ,D �e �� ��c� �a li.r�_ �/�.r ��.�-r�P r�,��- <br /> T��T�� <br /> s�'o���s: z s�.���o��Acx�oo�: / �?o � /�/�' N�u��- <br /> NO. OF BEDROOMS: 3 GARAGE ST'ALLS: A�'TAC�iED� DETAC�31E�_ <br /> ESTIMATED CONSB'RUCTION�Ag,�JAT'ION(excluding land): $ / �/�, J�D� <br /> I hereby apply for a buildinc pennit and I acknowledge that the uiformation above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and witll the State Buildin� <br /> Code;that I understand 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 /> � � �. 'oG <br /> APPLICANT S SIGNATURE: � DATE: <br /> ;� <br />