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►� <br /> <'• f" . <br /> �� . �� <br /> �� <br /> Total Fee: $ � Date Received: ��3 ��-�i:�v� <br /> Entered By: ��� � � 1 ;�J`CJ� Permit#: �r�;�.:Y.�'"� ► <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all infor�natio�z) <br /> -------------------------------------------------------------------------------------------------------------------------- <br /> �HE APPLICANT IS: (ci��cle one) OWNER OR CONTIZACTOR <br /> JOSSITEADDRESS: �j�'�g 30v�dE_f- ��Z ZIP: S5�'3S�p <br /> /�--�- ��' <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ 1�10 Ifyes, a special event peri�iit is re�uired with Police Department�a�2d Ci.ty Council approva! <br /> 60 d�rys prior to the event. Sherttle bus ser-vice will be reqi�i�-e�l unless applicant�ienio�zstrates <br /> sir�cierit on-site pcu�king is available. No��-pern�itted eve�zts rvill zot be allotived. <br /> NAME OF OWNER: � �) �'a ' ��/ <br /> � e • PI�[ONE: home <br /> r-�/ (�� <br /> MAILINGADDRESS: TSPg /�� ��ei- �2 CI'TY:C� . ZIP: <br /> CONT�tACTOR: � �. /'Uc, � ��-. PHONE: �� -�3 a <br /> CONTA�I'PERSON: /� � MOBILE/P��:���� �,4�0-ni�Y�� <br /> MAILING ADDRESS: � !J5"CITY: 5.��_ Z P: ��',,��3` ,�� <br /> STATE LICENSE: #�(�,'�(,,�4�v XPIRATION DATE: � <br /> ,----._.___ � <br /> �RCHIT�C NGINEER: ���� L,��'c.if` PHONE: S�' �..� '�/� <br /> LING ADDIZESS: ��-�'6S ��� ���� CITY: �� ZIP:Ssy�� <br /> NAME: REGISTRA ION: # � <br /> �'YPE OF WORK: New /� Addition Accessory Structure <br /> Move Hoine Remodel/Alteration <br /> P POSED WORK(describe i�z detai�: �,JC�,I,J �OS�I'v L��c�� �v���� <br /> ��'�IP� <br /> ��o��Es: I s�.���T o���c���.00�: 1 g 1 g � <br /> NO. OF�EDROOMS: �_ GARAGE S'I'ALL,S: A'�'TACHEI2 DETACI�ED_ <br /> E5'I'IIVIATEI)CONST�ZIJC'I'IOl�tt Vt�LiJA'TI01�1(excluding lancl): � ��J , Z•'�C� <br /> I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate; <br /> that the work will be iu confornlance with th��nances and codes .-the City and with the State Building <br /> Code;that I understand this is not a pennit d r i to sta itliout a pernlit;and that the work will be <br /> in accordance with tlie approved plan.� <br /> APPLICANT'S SIGNATURE DATE: s <br /> L�_— <br /> 31 <br />