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r � <br /> Total Fee: � 3�-{5, '7,5 Date Received: /v-2(� -U-5 <br /> Entered By: ��_ Permit#: _ (Jn Q3,>�-'� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please p��int all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: � � ;� �,;,,%/��',�%'�l,' �-�'�{ ZIP: -�.5 3� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No Lf yes, a specia/evej7t permit is r�eqaured with Police Departnrend at�d City Coi�nci!appr•oval <br /> 60 dcrvs prior to the event. Shtrttle b2rs service will be r•eqirired z�nless applica�7t demionstrates <br /> szrff cient on-site par�king is avaifable. Nort-per�initted events ivill not be crllo�ved. <br /> ' i - <br /> NAME OF OWNER: ���/ v' �l�/`�•� PHONE: (home) %� �0�1� <br /> (work) <br /> MAILING ADDRESS: �/f i'��� CITY: �>,f'�,,.i�� ZIP: < < 1� <br /> � c <br /> CONTRACTOR: �i✓f 5�,1� /'�� PHONE: �� s, ��j=O�D j <br /> CONTACT PERSON: /`��-( ��- MOBILE/PAGER: �/ <br /> MAILING ADDRESS: �%�>�> S � �'✓ ^ CITY: ,;- � ZIP: i S 5��/ <br /> STATE LICENSE: # � �!6���// EXPIRATION DATE: />�'�>� <br /> ARCHITEC'T/ENGINEEIt: PHONE: <br /> MAILING ADDRESS: CIT�': ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSEI)WORK(describe in detain:�r'���r�� /�%t�/�'' �'�:� <br /> ST'O1�IES: SQ.FEET OF'�AC'�I FLOOI�: <br /> Ie10. OF BED120010�IS: GARAGE STALi,S: A'I"I'ACHE� � �E'TA��E� <br /> o^ , <br /> �STIIVIA'TEI)C'OI�TST'I�UCT'ION irAL,�1A7'I01�1(excluding land): $ Oi.�`, � U J � �' <br /> I hereby apply for a building pennit and I acknowledge that the information above is complete and accurate; <br /> that Che work�vill be in conformance with the ordinances and codes of the Citi� and with the State Buildina <br /> Code;that I �inderstand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLIC'AN'I''S SICTNAT'LiRE: // !l --�-z.�"- /��,. ' DAT'�+ : /� �,E l'S <br /> � <br /> �1 <br />