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� � ���e 6�r-a� �D 6 99a -N�u� ��, <br /> , . <br /> Total Fee: $ � � �� � � �"�7 Date Received: b-�'�-� <br /> Entered By: � �j,� ` Permit#: �{'d,��t <br /> , <br /> -r.�,,�_=� ��7 % %_� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATIQN <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�zt all infor'i1ZQf1031� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OtiYN�R OR CO�TRACTOR <br /> JOB SITE ADDRESS: 3 ��'3 ����'� �� z�r: �s -�� ( <br /> Will this be a Parade of Homes, RemodQlers Showcase Fiome or other Display Home? <br /> ❑ YeS ❑ No If yes, a special eve�zt permit is required witli Police Depai•tmerlt and Cr.ty Council approval <br /> 60 days prior to the event. Shzrttle birs se�vice will be reqtrired z�nless applicanl demonstrates <br /> sz�cient on-site par�-ing is available. Nor�Permitted events will not be allowed. <br /> NAME OF OWl\TER: ���,�..� ���� C:� PHONE: (home)�S "L '�7 I —O`_��� <br /> (work) �S Z�1�1 i — �Z 5 z— <br /> N1AI�..,ING ADDRESS: 3��o� �o:�,�c� �<-,Q._ CITY: �,-����� ZIP: �i <br /> CONTRACTOR: _ �o� PHOi�"E: (�� Z�'3Z� � �3�`� <br /> CONTACT PERSON: -�-� MOBILE/PAGER: S p�v.� �S �. <br /> MAILINGADDRESS: ���(,; ��rr,(2 �.,re_ t CITY: �����t�� ZIP: "(/41 �J f <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: ��� 1�=��� ,r�-- PHO\TE: <br /> MA�LING AD�IZESS: CI'i Y: ZIP: <br /> NA�i�: �2EGISTRATION: # <br /> i. <br /> TI'PE OF WORK: New Addition `' ' Accessory Structure <br /> Move Home Remodel/Alteration �_ <br /> PROPOSE���OJ[�(describe in detail�: 1�-�" �-��.-e_ ��^c�c�C�� <br /> S�'�RIES: Z- SQ.��-��'O��,:�CI�I��OOR: �r-�UO <br /> I�O. OF �EDItOOi�IS: 3 �A��E S'TA�,L,S: A'T'TAC�I�'�3� DET'�C�-IEI�_ <br /> ES'I'IyI4'TEi� COIVS'i'�2UCTIOl�VALIJ�1'I'ION(excluding lancl): $ ��� � <br /> I hereby apply for a bui?dina permit and I acknowled�e that the information above is complete and accurate; <br /> that the work�vi11 be in conformance with the ordinances and codes of the Ciry and with the State BuildinQ <br /> Code;that I understand this is not a permit and work is not to star without a permit;and that the work wi11 be <br /> in accordance with the approved pian. <br /> APPLICA:�T'S SIGNATURE: DATE: � Z ` <br /> �1 <br />