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Total Fee: $ ��� ��� Date Received: ' .!U ' <br /> Entered By: Pernrait#: /`; i,. , �;'� <br /> ,� <br /> ��/� � ���. <br /> CITY OF ORONO - ILDING PERMIT APPLICATI4N <br /> All information must be submitted in full before plan review will be started. <br /> (please pf•iiat all inforf���ation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> - � --_ .-- �--- <br /> -- � � <br /> THE APPLICANT IS: (cir�cle one) � O�VIVER�R CONTRACTOR <br /> �s._. <br /> JOBSITEADDItESS: i�`,� .�; �N� ��r L��i�._ Op.s�C� ZIP: �j�J3�`� <br /> ! ti�l' <br /> �Vill this be a P ade of Homes, Remodelers Showcase Home or other Display Hame? <br /> ❑ Yes �0 If yes, a special event permit is r•eqatired wi117 Police Departmer7t and City Council approval <br /> 60 davs prior to the event. Sl�zrttle bus service will be reqtrired a�nless applicont de�raons�rates <br /> sa�cient on-site par�iiag is available. Norr�ermitted ever,ts will not be allowed. <br /> NAME OF OWI�TER: , �i l��' � PHONE: (honle) 5 �— '�� ' J`�� �i � <br /> ( �� , �Y2�k-S rY�""+`.,� , ��work) ( --�O(c " l0 5� <br /> MAILING ADDRESS: /Q�°�-� '�1 �..i�(ei._r �.tv�Q CITY: �/�,C'�..+�1 ZIP: ��C��( <br /> CONTR.ACTOR: �v� �:_�-. I c�.r�.�� �.; �_- PHONE: .�;30 �-� ��S--" �-�y�I <br /> CONTACT PERSON: ,�� ' '��� �,��'� � MOBILEIPAGER:,3;-�f; �- ��� —��c{`� <br /> MAILING ADDRESS: tb�,-� 1 -�c.� -t�� C�;�� CITY: Ll.:+;�`���<� ZL�P: �S��'� <br /> STATE LICENSE: # ��"��� EXPIRATION DATE: <br /> �vr7i�7� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAiLING ADDItESS: CI'g Y: ZIP: <br /> NA'�iE: �2EGISTRATION: # <br /> T�.'PE OF WORK: New _� Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> P�OPOSED 4�%OJEL�i(describe i�z detar.l�: �'�{� c�-c�c� � 1 �` --��' ' <br /> ��� C�SI ,�. � <br /> .. <br /> S���t�S: s�.����o���c���,00�: ��C� � <br /> 1V0. OF �EDR001�IS: G��GE S'T�I,LS: E4'TT'A��I�I� DETAC�-IEI� <br /> %�,UGO -- <br /> ESTI�'TEiD CO?vSTRUC'I'IOlV�ALtJA'I'ION(excluding land}: $ <br /> I hereby apply for a bui?din�pzrmit and I acknowledge that the information above is complete and accurate; <br /> that the work�vi11 be in conformance with tne ordinances and codes of the City and with the State Buildina <br /> Code;that I understand this is not a permii and work is not to start without a permit;and that the wor�c will be <br /> in accordance with the approved pian. `—�-- � <br /> APPLICANT'S SIG?�1'1��: ATE: %� ` � ^� ` <br /> . <br /> �1 <br />