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��,�,,"'.� <br /> f �3_p� <br /> Total Fee: $ 7�� �o Date Received: � � ��-����� � <br /> Entered By: Permit#: �v'J � D <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> � (�ilease print all infor»ration) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (cii•cle oize) OWNER O CONTRACTOR � <br /> ----�-_....__ _._ <br /> , _ .. ��,� � (�% <br /> JOB SITE ADDRESS: � 7�`� � �'�����`�� �� ��� ���' V V ZIP: <br /> Will this be a P ade of Homes, Remodelers Sho�vcase Home or other Display Home? <br /> ❑ yCS NO If yes, n specznl even!permit is requir•ed til�ith Police De�nrhnerzt and Citi�Counczl app�^oval <br /> 60 days prior to the ever�t. Shuttle bus service will be reqaiired i�rzless applicnnt de�nonstrales <br /> su/ficien�na-site pm�k-in�is availabde. Non�ermilted eve��ts will not be allo�ved. <br /> NAME Ok'�W1�E12: � �c�(t� f�� �U-�'� ��''�I�-� PHONE: (home) <br /> � <br /> (work)_ <br /> MAILING ADDRESS:�7�� �%'��'� � � ��' CITY: r�✓1�J ZIP: �� <br /> CONTRACTOR: J u c.�0�� dV � �� � PHONE: .� ' S�3 -��5� <br /> CONTACT PERSON: v " � �OBILE/P GER: , -�3 b�- l <br /> MAILING ADDRESS: � �►` V CITY: ��b� ��� P ZIP:. �5�{d,,Z <br /> STAT�LICENSE: # ,,� ,3�;,� EXP�iZA'I'ION DA'I'E: � � �� d <br /> ARC�II'I,ECT/ENGINEEIZ: ��X���Y>Y�P PI�ONE: <br /> MAiLiNG ADDR�SS: �� CITY: ZIY: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORIK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding,Windows) _� <br /> PROPOSED WORK(desce�ibe i�a cletai�: �QC� <br /> 5'TOR��;S: ��.F��'d'OF EACH FI,OOR: <br /> NO. OF BED1200�iZS: GARAGE STALL,S: A'I"I'AC�IED I)E"�'�.C�-IED <br /> ES'�'I�A'fl'EI�C'��1SB'�L1C'�'IO'�1�J�L�T�'TIOI�i(excluding land): � v� �, ��� <br /> � <br /> I hereby apply for a building permit aiid I acicnowledge that the infotmation above is coinplete and accurate; <br /> � that the work will be in conformance �vitl� d�e ordinances and codes of the City and witl� the State Buildine <br /> Codc;that I undcrstand this is not a pennit and�vork is not to start without a pennit;and that the work will be <br /> in accordance witl� the approved pla <br /> ����,ic���r�s s�����u�: � ����: �°� �y��� <br /> 31 <br />