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, <br /> Total I'ee: $ �0���� Date Received: �-��-U 5 <br /> �ntered By: �'VL Permit#: �t?!�C>:.�-Q' <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (plense print all informntion) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle oi7e) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �1p ��L�NDt R � � ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Dis�lay Home? <br /> ❑ Yes �No If yes, a specia!el�enl,per�T�it is reguirect tivith Police Departme��t and Ci.ty Council approval <br /> 60 dnys pria•to the eve»t. Shzrdtle bus sei�vice ivil!be reqi�ired z�nless npplicant demonstr�ates <br /> strfficient on-site pnrki�ag is available. 1Voi�-pet�mitted events ivill nol be ullotived. <br /> NAME OF OWNER: Jr�.r, ��(JM�N PHONE: (home)��Z- �l'7�Z��b <br /> (work) <br /> MAILING ADllR�SS: 3�O ��o�,�,pwfl�,R CITY: 6�`' �ZIP: <br /> CONTRACT012: H�Bqti CoN 5 T PHONE: 7(03•2116-oS�o�-( <br /> CONTACT PERSON: n+ C. Ln c.� MOBILE/PAGER: �' <br /> MAILINGADDRESS: �o �x 6�03 CITY: �T Mu,kA�,t Z1P: S" �7 <br /> STATE LICENSE: #2b�0'�-lc?1? EXPIRATION DATE: 3-3 ► - p te <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDI2�SS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYP� OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration � <br /> PROPOSED WOI2K(�lescribe ifz detain:�,�, t�o h <br /> ��'012IES: 5Q.F��'I'O�'EAC���'LOOR: <br /> NO. OF 13EDROOMS: (;ARAGE STALLS: AT'I'ACH�I) D�TAC�-I�;ll <br /> �STIIVIATED CONSTI2LJC"T10Iei VAI,U�i'�IOI�t(excluding land): $ �D�(,')O <br /> 1 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 City and with the State Bui(ding <br /> Code;that I �inderstand this is not a permit and worl:is not to start�vithout a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE� Z, 1�ci�(� DATF,: �g �2-o,� <br /> >> <br />