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. � <br /> � �'vi��:�r��l� <br /> "" c� �(��3�1 <br /> Total Fee: � ��;3J, Ld�( DateReceived: <br /> Entered By: �`�.y//L- Permit#: <br /> ' O O <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> �(please print al!iizfor�nation) <br /> ----------------------------------------------------------a------------------------------------------------------------- <br /> THE APPLICANT IS: (ci1•cle orze) OWNER OR CONTRACTOR <br /> JOB SITF.ADDRESS: I`� ��' ��U��tS�SS ���i �� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display I�ome? <br /> ❑ 1'eS �.NO Lf yes, a specinl everrt pern7it!s reqi�ired�vith Polrce Departmer�d and City Coin�cil appi•oval <br /> 60 dnys pr•ior to the event. Shzrllle bus seivice tivill be reqarired un/ess applicant de�nonstr•ates <br /> suffcient on-sile parking is avnilable. Na�-per����rtted events wil!not be nlloived. <br /> NAME OF OWNER: a;��$�c8c►J �t�'_1��� PHONE: (home) <br /> (worlc) <br /> MAILING ADllRESS: S��� �`� Ai.-�c>ti�� CITY: ZIP: <br /> CONTRACTOR: }-I A�(s�_� �trr.�-1-�c,t� �h►c , PHONE: `l5z-93-�-Gg�� <br /> CONTACT PERSON: C-�A2y k�-�rts� MOBILE/PAGER: ��z-3�`l-���D <br /> MAILING ADDRESS: ��O.Bc�x (Q^��( CITY: �,�rlfrls5��� ZI�: SS��S <br /> STATE LICENSE: # t z-�` EXPIRATION DATE: �3/3�/c,tt: <br /> ARCHI'I'EC'T/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITI': ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition x Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detain: �=Rc�tT ��r;� �,����A�� 'J-'/T�;,:,.�c�� F�vrt*�c�. <br /> `�K iv.J�2c�^ti.�,�C,A�ne�� 1��trr0l� f3�;��� flcc��i- v�A�� L�v��� ��.rn�AS �t��"�ti+� �F.r��r�� �N�rrt <br /> ftNG�l��'., <br /> S�I'ORI�'S: _�_ SQ.�'�'�'T'OI,' �'L�C�-I F�I'I,,OOIZ: _ <br /> 1`I O. �� BLYJY\�O1�1S. GAil.t1G� �5 1 t1Y.�LS. A A Y A�AYELD x IIl�S A`1.11E1V <br /> ES"TIIVII�T'ED C'ONST'RIJC�ION VALi1A'I'TOIV(excluding land): � I Z S� p�'_� . ��'' , <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the Citi� and with the State Buildin� <br /> Code;that I understand this is not a permit and work is not to sta�rt witl�o��t a permit;and that the work will be <br /> in accordance with the approved plan. � <br /> �1PI'�ICAN'I''S SIGI�TA'I'�'I2E:� ' D�,'I'E: ��/g b S <br /> 31 <br />