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� <br /> � <br /> Total Fee: $ ��7 ' Date Received: �����y� <br /> Entered By: �� ��-�'� Permit#: �r � �C_�- � G� <br /> � �: <br /> ��%�� <br /> CITY OF ORONO - $UILDII4TG PERNIIT APPLICATION <br /> All information must be submitted in full before plan review wzll be started. <br /> (please pf�int all infof��natian) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle o�ie) O�VIVER OR CO'rTTR.A.CTOR <br /> JOB SITE ADDItESS: ��� ��ps� ��� �- ZLP: -- <br /> `Vill this be a Parade of Homes, RemodQlers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special eve�zt permit is reqa�ired with Police Departmer7t and City Council approval <br /> � � 60 days prior to lhe e✓ent. Shtrttle bzrs service will be required unless a�plicant demanstrates <br /> sz�cient on-site par�inu is available. Nar Permitted events will not be allowed. <br /> NAME OF OWNER: �L C� D L/ � PIIONE: (home) �2-'y72 �S�Y�,� <br /> �� (work) <br /> MAIg..ING ADDRESS: �.SS' �e�'e S�/�`M CITY: d�'�✓�r' ZIP: <br /> CONTR.A.CTOR: �I��7� f uv�S PHONE: 7�.? ' <br /> CONTACT PERSON: K�e�„� MOBYLE/PAGER: (,/2 �Y.��2/�S' <br /> MAILING ADDR.ESS: /2 2s - h%,. �6 9' n� CITY: �C y�- ZL�P: ss-fi1 <br /> STATE LICENSE: # �c Z a�2 5r�?7 EXPIRATION DATE: 3-�/ 2��t <br /> ARCHITECT/ENGINEER: PHaNE: <br /> NiATLI�IG AD�I2ESS: CI`i Y: ZIP: <br /> NA�iE: REGISTRATIOI�T: # <br /> T'i'PE OF W0�2.K: New Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED��IOJEL�(rlescl•ibe in detai�: �o�� .qi,� ,Le �QQ cG,¢e�� <br /> �c.�e c�— �ai��- — f�.v-� t�.�s .s1J�=s �.� ri S'rn-iP i..a— <br /> S'�'OI�.i�S: SQ.FE�'�'O�'��C��'LO�IC�: <br /> 1�0. OF �ED1ROOidIS: G�fl2AGE S'I'�LLS: A�'I'A��I�I3 D�TACHE� <br /> �S'I'I17AT'E� CO?VSTRUCB'IOl�i VAL,�T��'iai�(eYcluding lancl): 2 Q � <br /> I hereb}�apply for a bui?din�pernu:and I acknowled�e that the;nformation above is complete and accurate; <br /> chat the work wi11 be in conforman�e �vith the ordinances and codes of the City and with the State Buildine <br /> Code;that I understand this is not a permit and work is not to start w�ithout a oern�it; and that the work will be <br /> in accordance with the approved plan. <br /> APPLICA,�T'S SIGNATURE: �� .Vti1L. <br /> � �ECi/G ��s /�D/�Q C� J-� /��U�fMy i/"/� /�.4n Ny�.r P00� �Ant M.�.C:7��. GPi"9-S o Q!'79�.�.�iv S ./).p.,�..i,`� <br /> � �Gk- �'`� ��GiNy �^�'S�b/N p`� • �'� �� �,'7� J `- ` <br /> / � . <br />