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Total Fee: $ �� ��� � �' Date Received: S'�1"� � <br /> Entered By: i � Permit#: f�(��'85�' <br /> ��,�-�,-y� �-��'�j;���'�t' <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please prrizt all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- .�,..___- <br /> THE APPLICANT IS: (circle one) rOWNER�JR CONTRACTOR <br /> JOB SITE ADDRESS: ��(� C' I V�/ I�I�C F ZIP: 5 j�`� I <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ yeS �-NO !f yes, a specia!event permit is r•egzrir•ed tivitl�Police Depnrtment nnd City Council approval <br /> 60 days prior•to the everat. ShuttTe bz�s se�•vice tivill be reguif•ed unless applicant demonstrates <br /> su�cier�t on-site pc�rking is czvnilable. Nora-per•mitted events rvill not be allowed. <br /> NAME OF OWNER: (�y^u $ ���,� �+��.`i S�C'.�1�C'y� P�-IONE: (home) 95��4�J-I I I� <br /> (work) L�51-(���I S-XS 7(� X�-`3 <br /> MAILING ADDRESS: ;�J(r�C� Iv�/ ���C E CITY: • �� ZIP: �,5��� 1 <br /> � �. �� � c��rc,S re�.r s..�.., <br /> CONTRACTOR: PHONE: — ,Z�, <br /> ^�i�"�'tiCT��R�O:T: (� yg_ M�BILE/PAGEI�: <br /> MAILINGADDRESS: � � � np .CITY: : IP: 5'f34� <br /> STAT�LIC/�E�NSE: # � E� PIRATION DATE: p p�_ <br /> (9.M.0 Lf.+LSILN tNC . Zp�� aaT�l'L <br /> l� <br /> ARC�II'TEC'I'/ENGINE�12: PI30NE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration �r_ <br /> P�20POSEI)WORK(describe in tletnin: p�rL+.t,y �OD� Dp� �✓ag.,QC'z,� <br /> a �d Sfv>-u trn �'x�.s f i�a G�_ <br /> STOi�IES: SQ.FEET OF EACi�FI,OOR: <br /> NO. OF BEDItOOMS: GARAGE S'I'AI,LS: AT"g'AC�IEI� DETEICHED <br /> ao <br /> EST'�1VI�-1 A ED C011�S'TIZIJ�Tm01�VALU�TIOI�1(exc�uding�and): ����� � <br /> I hereby apply for a building pennit and I acknowledge that the information above is complete and accurate; <br /> that the work tivill be in conformance with the ordinlnces and codes of tlle City and�vith the State Building <br /> Code;that I understand this is not a permit and worl:is not to start without a permit;and that the work wifl be <br /> in accordance with the approved plan. <br /> r <br /> ��'I,IC:�N'I''S SIGNA�'Uh2�: DAT'E: '�"' �f1 —crJ� <br /> 31 <br />