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Total Fee: $ ��� • �i � Date Received: '7- I � -U� l. <br /> Entered By: �6� Permat#: � 0851 fo <br /> ����v✓�c� ��Z-1 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Al1 inforrnation must be si►bmitted in full before plan review will be started. <br /> (please pf•int all infornaatio�z) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (ci��cle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: t� 3� C-�� `� ` �.�1�.,1r� ZIP: �� �`�� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Displa,y Home? <br /> ❑ Yes �l\�O If ves, c�specica!event pe�n:it is reqiaired wit/�Po(ice Department a�id Citt�Coirncil approi�cal <br /> � � 60 da��sl�rior to the event. S1larttJe 6us sef�vice will be req��ire�l unless applicant de���oTlstrates <br /> scrfJicient az-site parking is available. Nor�-pern�:itted events tivill�aot be allotiti�ed. <br /> NAME OF OWNER: (�C��i\��- �'��l�S��U� PHONE: (home)��a. -9�t�- Q�51 <br /> _ (wark)�a� c�.�l�� i.o t�t�'� <br /> 1�ZAIL�[NGADDRESS: ��5 �-V`�-�`�-�J��.,,�; ���,. CITY: �'(�(���C! ZIP: ��3�� <br /> CONTRACTOR: �; � PHONE: <br /> CONTACT PERSON: 1��10BILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New �_ Addition Accessory Structure <br /> Move Home Remodet/Alteration �_ <br /> PROPOSED WORK(descr•ibe in detai�: R�.�o7El� ���S�C. S� �c�,te�. P-�a'�E' /1�i4n�t,� � <br /> u.��wS. ��aw�P�LcT 11/ 6,5 ��. E:.x�N� �oor. ��b..5 fs�. nic� n��.� s-��zZ,cT,�R� <br /> wi7,�t,� ro� oF tn/ PR�pcaN ���L , <br /> STORiES: �Q.FEE'I'OF E�CH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED� <br /> ES'TTIVIATED CONSTRLIC"TION VALLIA'I'I(31�1(excluding land): $ � j ���l� <br /> I hereby apply for a buildinb permit and I acknowledge that the infonnation above is complete and accurate; <br /> that the work will be in confornlance �vith the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not to start without a pernlit; and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: �i����'l DATE: _ /Z, �j t%1Z. C�S <br />