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� • �� g-2z-o.� <br /> Total Fee: $ �Z� •� � Date Received: %�-��- ,2�`— <br /> Entered By: Permit#: ,���L�� � <br /> � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must Ue submitted in full before plan review will be started. <br /> (please pi•int all infqrmation) <br /> � <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: �ClYCIe one) OWNEIt OR CONTRACTOR <br /> � J/ �r-��'''� � i <br /> JOB SIT�ADDRESS: ���t�( � ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �110 !f yes, a specinl eve�7l permit is re�uireclli�ilh Police Department and City Council npproval <br /> 60 days prior to the eve��t. Shuttle bus service}vill be regzrired uf�less applicant denronstrates <br /> sufficient on-si[e parki��g is avnilab/e. Non-per•mitted events wi![nvl be alloi�ved. <br /> NAME OF OWNER��f-��t�'t�"'( �_,X4sZ�.�--�/ PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> � , �y <br /> CONTRACT012: � ,�,�1!.�t. PHONE: �l�"��� �����/ <br /> CONTACTPERSON: �c c�y� MO E/PAGER <br /> MAILING ADDRESS: � cY� v/ CITY: � L� ZIP:;S�S��?�' <br /> STATE LICENSE: # 51;3 �'/ �XPIRATIONDATE: �--�� -C>� <br /> ARCHITECT/ENGIN�ER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYP� OF WORK: New Addition Accessor Structure <br /> Move Home RemodeVAlteration � <br /> PROPOSED W RK.(describe in detai�: � � ,� �� �trJ�-� <br /> , <br /> �� �'�+."�✓�'7�t-(� ,�,��, <br /> .� �j . <br /> ,� <br /> �TOI2I�S: �Q.F��'I'OF EACH��,OOI2: <br /> NO. OF 13EDROOMS: �:ARAGE STALLS: AT'I'ACH�U DC'I'ACHEI) <br /> ES'I'IMAT'ED C�NS'I'RUC�'IOI�VAI,iIA�'IOI�t(exctuding land): � p?��'��� - �� <br /> I hereby apply for a building permit and I acknowledge that tlle information above is complete and accin�ate; <br /> that the work will be in conformance with the ordinances and codes of the City and with d�e State Building <br /> Code;that f understand this is not a pertnit and worl<is not to start without a permit;and that the work wi Il be <br /> in accordance with the approved plan. <br /> APPLICANT'SSIGNATURE: � DATF,: �"-I�"-d,j <br /> 3l <br />