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i��� � � <br /> , f� ,� � <br /> Total Fee: $ � j' � Date Received: r;•'� �/' �5 <br /> Entered By: ;i/ ,J� Permit#: � �d3 7 <br /> �� ,.,, ��c+ ,�� '� <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> All information must be submitted in full before glan review will be started. <br /> (please pf�int all i�ifor•�nation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle orze) O�VNER OR CONTR.A.CTOR <br /> JOB SITE ADDRESS: 3 6����� �O�/��✓S i�/ � G1�✓v�- Z�� �S� 9,� <br /> Will this be a Parade of Homes, Remod�lers Showcase Home or other Display Home? <br /> ❑ Yes � NO If yes, a special event permit is required with Police Departme�rt and Cr.ty Council approval <br /> 60 days prior to the evei�t. Slzzrttle bzrs se�vi.ce will be�•eqtrir�ed Linless applicant demoristrates <br /> si�cient on-site pm•king is av4ilable. Nor�Permitied events will not be allowed. <br /> NAME OF OWNER: I/1/�}',�' t�1�/� l�✓�,���, PHONE: (home)���-�L�/yS � � <br /> (work) <br /> MAIT�ING ADDRESS: �Ja�j � —" CITY: ZIP: <br /> CONTRACTOR: G� wr4 �' � c� v/•r/� �.�'/�% PHONE: y.��—�6��—y/6�. <br /> CONTACT PERSO�T: MOBILE/PAGER: <br /> MAILINGADDRESS: G�' �vi ^ G %' CITY: )'�'G . ZIP: .� .�',�'. <br /> STATE LICENSE: #�/�'y "7 3 EXPIRATIONDATE: �3-��j/— �.�, <br /> ARCHITECT/ENGINEER: PI30NE: <br /> MATLING AD�I2ESS: CI'i Y: ZIP: <br /> NA.�i�: REGISTR.4TI0?�T: # <br /> TYPE OF WO�tK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration �_ <br /> � _ <br /> P�O]POSED��'O�(desc�•ibe asz detail�: �}i�,0 �TT/f�2_S' %U �X r .S i�•v�. <br /> t�'c'.��j� <br /> SrY'�RI�S: S�.F'E�'i'O�'�AC���001�: <br /> IeiO. OF �ED�ROOiVIS: G��2A�E S'T�LLS: AT'T'AC�I�I� DETr�C�-IEI� <br /> E5'I'I�'TED COivSTRLrC'I'IOIV VAL�J:�'I'IO1V(excluding land): $ /, ��O � � �.J ` <br /> I hereby apply for a building permit and I ackao�vledge that the:nformation above is complete and accura±e; <br /> that the work�vi11 be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;thac I understand this i�not a permit and work is not to start without a permit; and that the work wi11 be <br /> in accordance with the approved pian. <br /> r1PPLIC��iT'S SIGNATURE� �� - � c�- DATE: ��_/ `�_o�— � <br /> ;� � <br /> 31 <br />