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�(i v� io� <br /> � <br /> Total Fee: $ .�o . O Date Received: �-� - D(o <br /> Entered By: Permit#: �D 9S/ 7 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please p��int all i�zformation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle o�ze) OWNER� R CONTRACTOR <br /> � �f <br /> JOB SITE ADDRESS: l: , � ��� �{"I�r�'1 D12� ��Z-(,�I`v(.) ZIP: �j��' <br /> Will this be a arade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ yeS �LvO If yes, a special everzt perrnrt is rec�z�rred tii�ilh Police Departn�ent and Ciry Coarncll approval <br /> 60 days prior to tlre event. Shuttle baEs service will be reqirired a�nless applicant de�nonstrntes <br /> szrfficzen!on-site parkiy�g is available. Non�er�nrttecl event,r will not be allowed. <br /> NaME o�ov�vER: Ll N�� �t 1fi��1�E1�,' �xovE: �l�ome� C��>��f 7Z-C�`f� 7U <br /> (work) � -2��-���� <br /> MAILING ADDI�ESS: i��(��7 /�`� �z��-��I)IZ��TY: (U i �-� zir: Ss�� <br /> CONTRACTOR: �(,'L� PHONE: � <br /> CONTACT PERSON: <��?,t� MOBILE/PAGER: �'�J Z�Z�D��7�-> <br /> MAILING ADDRESS: g�?i� CITY: ZIP: <br /> STAT�LICENS�: # EXPIRA'TION DATE: <br /> ARCHI'I'ECT/ENGINEER: PHONE: <br /> MAILiNG ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> T�'PE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) � <br /> PIZOPOSED WORK(describe in�letain: t�`X�►lr r��t ��, i 1GC�� <br /> S'Y'ORgES: � SQ.F'EET OF EACI-�F'LOOR: 1?--C>�� ti�1,41 P� �D(_� 1'JC�`=����'�'-f'�'� � <br /> rro. o� s���oo�s: ,� �a��� s�rA�,�,s: A���cx��� ����c���_ <br /> �S'I'I1VIA'�'ED C'ONSB'I�iJC'�'I0�1�A�,iJA'g'ION(exeludiaag land): � ���� ��'� <br /> I hereby apply for a building permit and I acknowledge that the infonnation above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and witl� the State BuildinQ <br /> Code;that I undeistand this is not a pennit and work is not to start without a pennit;and that the work will be <br /> in accordance with the approved plan. <br /> ����,Ic���r����������: �`l �t-�C-��,� �J-��,�;��,�.� ����: i�l��104� <br /> �► <br />