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� <br /> . , , .� r_� <br /> / � �� <br /> �� U <br /> Total Fee: $ ' I �'�y� Date Received: ; � G �- <br /> r <br /> Entered By: `�', ^,, �1 � Permit#: y'`�U7'j�� � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please p��int all i�ifo�•mc�tion) <br /> ------------------------------------------------------------------------------------------------------------------------- <br /> 'THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ZIP: S5 �S'� <br /> �3 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO Ifyes, a specia[event pe�•niit is re�iiired with PoliceDepa�•tnaent�a�id Ciry Council capproval <br /> 60 days prior to the eve�it. STrertdle b�rs seYvice will be r•eqt�i�-ed�mless c�pplicant clemonsd•ates <br /> su�cient on-site parlcing is available. Non pern�iitted events wi not be al[owed. <br /> . ��, <br /> NAME OF OWNER: � l,�S�✓a c. '�c).-. PI�ONE: (l��e) ��(o.G�� <br /> �.li��- <br /> � - a3 <br /> MAILING ADDI2ESS: IIc CITY: �'ra� ZIP: --�5�� <br /> /6 f- �'3 <br /> CONT�2ACT�R: PHON�: <br /> CONTA�T PERSON: ��t' OBI�/PAGER���� ���-�� <br /> MAILINGADDRESS: ��, .4���e CITY: ZIP: <br /> STATE L�CENSE: #��loC�`�/0 EXPIRATION DATE: � 3/l6'� <br /> --� C,��('�(` PHONE: <br /> RCHITECT�,NGINEER: T�(`�C�. <br /> MAILING ADDI�ESS: ,3�Q G�c�� �ik�li _CITY: -� ZIP: S�'�-- <br /> NAME: � �� �� REGISTRA ON: # ? <br /> 'I'YPE OF WORK: New � Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> ) � <br /> P POS WORK(clesc�•ibe i�z detai�: /�,�61�) r'`�,t c'�/J�� ,,,, — �c� ��� <br /> �o� <br /> �����E�: �.- ��.���T���A����.���: 19/� <br /> let0. OlF�ED�ZOOMS: �_ GA12AGlE STALI,S: A'�"�ACI�ED 1)ETACI�EID_ <br /> ES'TIIVIA'I'ED C01�S�'�2iJC'TION VALLTA`TIOIv(excluding land): � ��C�,�Y� <br /> I hereby apply for a building permit and I acknowledge that the infonna �on above is complete and accurate; <br /> that the work will be in conformance with the or �nances and codes the City and with the State Building <br /> Code; tl�at I understand this is not a pennit a wo is rt w' hout a perniit; and that the work will be <br /> in accordance with the approved plan. � � � %� <br /> APPLICANT'S SIGNATURE: � DA'I'E: s <br /> �/ <br /> L-' <br /> 31 <br />