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(� ��.��� � <br /> . � � � � �' �i� ` �`� <br /> . � " � �' �!� �` )��� <br /> q �" ��- k�, L � <br /> Total Fee: $ �' s� ✓�� `� � Date Received: f "���� <br /> Entered By: �� - .�-� Permit#: ,�j �'���> 1 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan revie�i�will be started. <br /> (please pf�irzt all informat�on) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (ci��cle oite) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: � 7 7 �. �� ���.�4 �t„ C_ ;'� ZIP: � � � S ;_ <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � NO lf yes, a specin!event perrrrit is reqlrir�ed ti�vith Police Depnrhrzent a��7d Cily Council crpprovnl <br /> 60 dca>>s prior to the ei�ej�t. Sl�zrttle Gus service lvill be r•equired unle.rs applicarzt clemorutrares <br /> sa�fftcier�t on-site parJcing is availnble. Non-permitted evet�ts tivill not be allot�ved. <br /> NA1VI�OF OWNER � c• ��r : -'� � ���--'��. �� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: � 7 7 � �` -^<<� << CITY: 7IP: <br /> CONTRA�TOR: �IGI�OI� r!/VE �V�7�L�7 PHONE: 6�2��66-�S'8$ <br /> CONTACT PERSON: � �v/�iQT' MOBILE/PAGER: S/M�E <br /> MAILING ADDRESS: /8t�1� GV G✓ CITY:Lp�JG �'KE ZIP: S5 3S�o <br /> STATE LICENSE: # 2030 j�Z.Z- EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAIL,ING ADDRESS: CITY: ZiP: <br /> NAIVIE: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessocy Stcucture �_ <br /> Move Home RemodeVAlteratioil (ie: Siding, Windo�vs) <br /> Any earth movement may require MCWD review and permits ! <br /> S R����EI�V`✓ORK(describe in detain: COiW,�,Q�JIGT �� �C Z� ��J4/o�E <br /> STORIES: SQ.FEET O�EACH FLOOIZ: <br /> NO. OF BEDROONIS: GARAGE STALLS: ATTACHE� DETAC�-�`E�J�, <br /> _.__----..__. <br /> r , � "�,� <br /> ES�!CIMt�'TEI)CONS'I'R�1C�'I011T V�I,�JAT'ION(e�cluding lancl(j: � ��', ���C-' � _ �, <br /> � _.�" <br /> _. <br /> I hereby apply for a building permit and I acknowledge that the information above is ctSt�Zplete and�cciii�arc: <br /> that the�r�ork�vill be in conformance with the ordinances and codes of the Citv and with the State E3uildin�z <br /> Code;that I understand this is not a permit and�vor{:is not to start�vithout a pennit;and that the w ork��ill be <br /> in accordance �vith the approved plan. �''�` <br /> � _—� --� f� ��� <br /> APPLICANT S SIGNA'�URE: DATE: � �� � <br /> <���;� , <br /> . � <br /> 3 l /X t C i'l <br />