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Apr-OA-10D4 OA:13an fro�-CITY OF ORONO +9511d94616 T-035 P.002/003 F-735 <br /> ;'� <br /> ;� ,'I <br /> �, ''y`I_' ' <br /> Date Received• , <br /> , Tbtal Fee: $ Permit#• `,� � �,� <br /> Entered By: � <br /> CITY OF ORONO -BUILDING PE�tMIT APPY.ICA'�`ION <br /> All information must be submitted in full before plen review will be started. <br /> (please print a11 informaiion) <br /> : . - � ,���,., -- <br /> _�.�.�.��_��-- .�.___-_--__ <br /> Ti��APPLICANT ISt (circle one) OWNER UR CONTI2ACTOlt <br /> . � ,r, ..:_ 'k�c_{ ;< � � ZIP: <br /> JOB SIT�ADDRESS: � ;`�`�- •�== t ` .'- <br /> WiU t6is be a Parade oi�omes,Remodelers Showcase Home or other Di9play Home? <br /> � Y e S �] N o I f y e s, a s pecial event permit u required with Police Department and Ciry <br /> Council apprvval 60 days prior to the event. Non p e r m i t t e d e v e n t s w i l l n o t <br /> be atlowed. `� <br /> � ' !C_ /i � � PHONE`v(h ome) .���=^•_�_�i_��-l5� <br /> L.�+�= �'��_�� i� <br /> NAME aF OWNEYt: �+'� (vvork) ;� _'�:3 - � ; �, <br /> _ , ;�::� CYTY: ,s, -c t �, ZIP: <br /> MAYLING ADbRES5: •, �`� , L` <br /> PHONE: i � j <br /> CONTRACTOR: -��`� <br /> . �_�_. . –' MOBII.E/PAGEIt: <br /> COIVTACT PERSOIV: � �. - CITY: _ _,f �: �, .�=. _ZIP: ':�; <br /> MAILING ADDRESS: ,� ;_; ;: - <br /> STA'I'E Y-ICENSE: # <br /> . .-.. <br /> �� ._ .-- � ,u ,, i�. :.- �_PHONE:y�_ _,_ . �. �,_� ��:� <br /> � ; <br /> ARCHYTECT/ENGYNEEYt: � ��- ��� \��\ i �� � � ,.y k� ,..�c t 1$IP' 1" >,�'-�-�, <br /> � '3L=�` '�� ' � 't��-�:� CITY': � <br /> MAYLING ADDTtESS: � � `�ECISTRATION# <br /> NAM�: ��>>\� ,,_ i;•ti,.�;�- <br /> Accessory Structnre _ — <br /> TYPE O�'WORK: New Move <br /> Addition ,�� Y,,and Altcr�tion <br /> Re�aodeUAlteratiog <br /> .,��; ,��� ��,��,� �-�C;�����_ <br /> pROPOSED WO�(�s�e in detai�: ` <br /> s.I.Q�s.�� SQ.FEET OF EACH F'1-��� DET. <br /> NO.OF BEDROOMS: _ , GARAGE STALLS: ATT• <br /> ESTIMATED CONSTRUCTION VALU�►TION(exciuding land): S, `'�(�i��G 1 <br /> 1 hereby appiy for a building permic and I aCimowledge that�e infoimation above is complete and aCCurate;tllat the <br /> �nrorg will be in confom�ance with the ordinattces and codes of the Ci��������t be'�'�o`���th <br /> �nderstand this is not a pt�mit and work is not to statt without a percmt; <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: , <br /> ,� .`�_ �. –'_.._. DATE: <br />