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c�.��-�.- I� �-- o � <br /> . Total Fce: $ ��- �"/ Date Received: 1 'Z.��U� <br /> EnteredBy: ,j Permit#: l�. /p`7 /(� <br /> CITY OF ORONO - BUILDING PEIZMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (plense pririt all i�izformation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (ci��cle one) OWNEi2 O CONTRACTO� <br /> JOB SIT�ADDR�SS: �QC� �pl�� �6` ZIP: � �.3..5 v <br /> Will this be a �arade of Homes, Remodelers Showcase Home or other Display Home? <br /> �f YCS � NO Lf yes, n specrnl event perniit rs rec�zrired ti-vilh Police Departrnertt aizd C:ity Coarnci/aj�pr•o1�u/ <br /> 60 c�at-s�r•io��to lhe event. Shirttle bi�s sei•vice lvilf be reqarired zmless applicant deirronstrale.e <br /> suffrcrent on-srle par•krng is available. Non-per•mitte�l events tivill not be allowed. <br /> NAM�OF OWNER: 1�v�1 ��'��► ��-f— P�-IONE: �l,o�„e) q.��' y 73�-y 73"� <br /> ' (wock) cj.S� _ �_�3 �-o o�d <br /> MAILING ADDRESS: 2.D/(7 Co �,� j,r CITY: ��n k� ZIP: 5.�3 S6 <br /> C�l`1'I'�ACTOR: �/.V� J D�r�so.ti Cv�S�Y����-� P��l`�E: 6��- f�/a-3 3i I <br /> CONTACTPERSON: ���,,��, ���,,���, , MOBILE/PAGER: �,/Z-gC�� 33i1 <br /> MAILING ADDRESS: 2.OSvS /�o✓J/1�.��� /�' CITY: t�u�m�1,� n'.� ZIP: J,.S Ci"2 � <br /> STATE LICENSE: # ��_5'IS'Li�"CJ EXPIRATION D�— 3 -- �pn �� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDR�SS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessorv Structw�e <br /> Move Home RemodeVAltei-ation (ie: Sidiilg, Windows) _�� <br /> Any earth movement may require MCWD review and permits ! <br /> PI20P�SEI�V✓OR�(rlescri(�e i�r detui�: I(,1���,,� ��nu��� . C�,��-� . �/o�; ��<< ��n�����, �����w��� <br /> W.�.;s� c� h�hu f;�:•� ��cb- . rY10�e. nOn �cxy�t��,rr, w�;l� {�zx�� c�ae�s � <br /> STORIES: � SQ.FEET OF EACH FLOOR 3UD �F-Z <br /> NO. OF BEDROOMS:---' GARAGE STALLS: ATTACHED --- D�'�'A�'HEI3 ---"" <br /> �S'I'IlVI�1T'�D CONS'I'12�,r�C�'I01V VALUt��'ION(excidadin�land): � �0, UOC� , C�C� <br /> I hereby apply for a buildin�permit and I acknowledge that the information above is complete and accurate; <br /> that t11e�vork will be in conformance with the ordinances and codes of the City and with the State Buildin� <br /> Code;th�t[ understand this is not a permit and work is not Co ����itho�it a permit;and that the��vork will be <br /> in accordance with the approved plan. � <br /> APPLICANT'S SIGNATURE: ATE: � � ZZ— 0 7 <br /> 3l <br />