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i� � ��� <br /> , V <br /> Total Fee: $ f �� � � Date Received: � � � � � � <br /> Entered By: �� d���'� �"(�� Permit#: � l L���G <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> ____ _ --------------- <br /> � (please print all informntron <br /> _ -- -- <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (cif�cle o��e) WNER R CONTRACTOR <br /> JOB siT�aDn�ss: Z�3C �ox 5-�-�e� ziP: 5�53`�/ <br /> Will this be a Paracle of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No If yes, n specia(eve��t per•irrit is required ivith Po(rce Departn:ent and City COl1J7ClI C1�7�71'OVC1I <br /> 60 days pi•ior to t�ze event. Slaarttle bus service 1��ill be reqarired atnless applicar�t de.�nnnstrates <br /> sl�fficie�vt or�-site parldng is avcailable. lVon-pern�itted evenls ivill no1 be allotived. <br /> NAME OF OWNER: �V�N I,�F������N PHONE: (home)��z"��6��Z � <br /> (work) <br /> MAILING ADDRESS: Z6� �I��X S�� CITY: ��'�Z��7A ZIP: S S39/ <br /> CONTRACTOR: �l�iN' �.C�E'`1d'w����� PHONE: (p�Z ZQq SS�d <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: �Z�ri,jC� � n P� CITY: L�� yZf4%7� ZIP: .5 S3 i/ <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADI)RESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> 'I'YPE OF W0�2K: New Home Addition Accessory Structure <br /> Move Home Remodel/Altec•atioil (ie: Sidi�ig, Windows) .�� <br /> Any earth movement may require MCWD review and permits ! � <br /> PIZO�'OSE�WO (descf•ihe in detain: (�l9/ t7lit%� 5Il�lNG� �iD�� �f��Eli'`Q <br /> f}--�� Li4 vN �-' r,� 5�� P�WN� <br /> s�roluEs: �Z s�.�E�T o��Acx F�,00x: <br /> NO. OF BEDItOOMS: � GARAGE S'I'AL,i,S: A'I'TACHED Z DE'I'ACHED <br /> �� <br /> �ES�I'Illil�'T]ED�ONS'I'�tUC'I'ION VALUA'TION(excluding lancl): � � � �� <br /> I hereby apply for a bttildinQ permit and I acknowledge that the information above is complete and accurate; <br /> that the worh�vill be in conformance with the ordinances and codes of the City and �vith the State Building <br /> Code;that I understand this is not a peri��it a l�vor is not to start without a permit;and that the work�vill be <br /> in accordance witl� tl�e approved plan. <br /> AYPLICAIVT`S SIGIi'AY'�J�E: �a"�'�,: <br /> l 3d__�7 <br /> 31 <br />