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<br /> 5�C a/ Q `� Date Received:
<br /> Total Fee: $ ��.L��� �. �j �y ,�
<br /> Entered By: j��-� �J`' �`' Permit#: �_����5� U�
<br /> �,,�,,�;�.. " �
<br /> CITY OF ORONO - BUILDING PERMIT APPLICATION
<br /> All information must be submitted in full before plan review will be started.
<br /> (please print all i�zfos��n�tion)
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<br /> 'THE APPLICANT IS: (circle o�e) OWNER OR CONTRACTOR � ,
<br /> --_..
<br /> ,- _- _ _._.. ..
<br /> JOB SITE ADDRESS: � �, , �- ; /l�',,�, ��' �- , , -ZIP:
<br /> ,
<br /> Will this be a Parade of Homes, Remodelers howcase Home or other Display Home?
<br /> ❑ Yes ❑ NO If yes, a specia/event permit is required with Police Departnient a�id Citv Counci!approval
<br /> 60 dm�s prior to the event. Shuttle bus service tivil!be required ernless applfcant demonsh��ites
<br /> ser�cient on-site parking is available. Non pern�itted eveiits tivill not be allotived.
<br /> ,�
<br /> <"._ '��
<br /> NAIVIE OF OW1tiTER; - ' � 1 PI�ONE: (hiome) c�� - �7 �
<br /> � �- (wark) �_�'-_"-- �:��
<br /> ``' �, CITY: ;,�.,,� �� ZIP: � . �,::�/
<br /> MAILINGADDRESS: ��1�� �; ��`� �,�,���,`�' � -
<br /> - �� / � - ., •.-
<br /> � CONTi2ACTOR: %��-'� ��' ,,�.�=_:���.��..."-��c.�,- PHOl\'E': ,�`', ...,._�.�'"l�
<br /> CO\TTA�TPERSON: , i,', -> � .-',, �«.,�-: . MOBIL�YPA�ER: �� . . �i�G.�
<br /> MAILING ADDRESS: ' � �II CITY: �� „ �, �; , ZI�: �_y�/
<br /> S�'ATE LICENSE: #.1 �' -. �; ;' � EXPIRATION ATE: ��.�.1� t_. ^,
<br /> i �
<br /> ARCHITECT/ENGINEER: �,y' ��:�: �,-, f ��' ' ` r�`~ �
<br /> �I�. -c�PHONE, a � _��;�tn
<br /> �
<br /> MAILING ADDRESS: - �- ; 1: CITY: ,/ ZIP: ��/til ��};/'-r' ar
<br /> NAME: ;_ � . C� v REGISTRAT ON: # J�^�j,�
<br /> �YPE OF WORK: New � Addition Accessory Structure
<br /> Move Home Remodel/Alteration
<br /> PROPOSED WORK(describe in detain: `�,� i1�j�� �i; :J�,, � - ���'�-`!�,
<br /> �-�----
<br /> S'TORIES: _.=_:, �Q.�'EET��'EACH FL00�2: � p,� ' �
<br /> � ,,..
<br /> NO. OF BEI)ROONIS: GAR.AGE ST'r�I,I.S: A'I'TACI�ED D��'ACHED_
<br /> ..�• R"�'.' , '. `�'• Y'J
<br /> ESTIIVIATED CONS'Tg2UC'TION VALUA'I'ION(excluding land): $ � . ���r_: '� M ---r'` �
<br /> I hereb a 1 for a buildina erniit and I acl:nowledge that the inforniation abo i�complete and accurate; � I�.
<br /> Y PP Y �P �., �
<br /> that tlle �vork will be in conformance�vitl�the ordinances and codes of the � anc�with the State Building �Q �
<br /> Code;that 1 understand this is not a permit a work is not to�tart witho pernlit; and that the work will be ,�� �
<br /> in accordance with the approved plan. ,�, ;' ---- - --- � ; '��
<br /> .�' : ' - �;, ;--- ,� `�
<br /> � �.-�:..� .
<br /> APPLICANT'S SIGNATURE: '�, � DATE: C� - � �. :/ �
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