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��f��,�/�,�� � �� ( � ��' �� � � I�1��(:J�%�1��,��- V°t�.�s� ����`�-'�' <br /> j v <br /> �� l l i <br /> Total Fee: $ Date Received: '<' � �'�"; _ <br /> Entered Iiy: ;':i�'�t _ Perm'rt#• �}� i�� ?.Q �`.�'•�S <br /> � - ��� <br /> CITY OF ORONO - SUILDylVG PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pritit al!ir:forniatiort) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ._.•-.-_ _. <br /> THE APPLICANT IS: (circle ane)-�""OWN�`��CONTItACTOR <br /> �-------._..._.__..... <br /> JOB SITE ADDRESS: C/'7`�S �c�r2 i�-t S-����fi. //iZ_ ZIP: ��" S �C �� <br /> Will this be a P�,N�de of Homes, Remodele►•s Showcase Home or other Dispiay Home? <br /> ❑ YeS ,�NO !(��es, a specia(evenl pei��rrit is required rvilfr Police Deparinrent�ncf Ciry Councrl approval <br /> ' GO da}-s prror�to tl�e euent. Slruule Gtrs service tivifl he r�eqirir•ed cri�less applfca��t demonstrales <br /> su f cient on-site nai•ki�ig is availaGle, ib'or�-per•nti(�ed events tivill�tot Ge alloi-vecf, <br /> /� �j <br /> 1`IAN.�iDF'OWN�n: C. iZ.��G� �/G5 a'2� Pk�O1V�: (home) �/'7�- GG�3 <br /> (work) 7s�-`33S"- �ii �- <br /> MAILING ADDR�SS: � 5 r7%�U�r� CITY: ZIP: <br /> CO1�I7CF.��TOR: ,�J 5 ��3�:-��� PI�ON�: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> S'�ATE LIC�NSE: # EXPIRATION DATE: _ <br /> ARCHITECT/ENGIN�+ER: l.,�.�z�s o�� `�'���nz- �5���J PHONE: �SI - 5��S' ' 39�l`I <br /> 1VIAYLTNG A]DDRESS: CITY: r.1.��:����n y ZII': <br /> NAME: �`<<,-,- �'rz<z�.5��J RIE�ISTR.ATION: # <br /> T�'PE O�WOItkC: New Home flddition Accessory Structuce �! <br /> Move �-Iome Remociel/Alteration (ie: SidinQ, Windows} � <br /> Any earth movement may require MCWD review and permits ! <br /> P�O��SEI)�V�ft�C(descril�e ira detail}: �-=c��� G�v��, ,-���� <br /> S'g'�Ri�S: �-_ �Q.�'EE'T��+�����LOO�: ,-G�° c; <br /> 1'd0. O�' ��1�I�OOIi%��: �'� �ARA(a� S�'AI,�S: r��'T't���E� ...-,.�— ���'�'�C��;�?_ <br /> �S'�'�19'���'E��C�I��S�'��'�'�I��d��..��J��'�4�I�t(e�:�9a�dhaag a��acdj: � C-=��c�� <br /> I liereby apply for a buildin��.�ermit and I ackno�vledge that the information above is cornplete and accuratc; <br /> that the�vorl:���ill be in conformance �vith the oi•dinances and codes of the City and tivith the State Buildin�l <br /> Code; tilat I �u�derstand this is not a permit ancl��ork I�I101 TO St�t'i��Itl101tt 3(?�l'I111C;�tIICI tllclt tI12�VOfI:�vill be <br /> in accordance �vi[h Ch: approve�l plan. ' <br /> � ,�!i'•� <br /> "/ `;�,%%.�/�� _ / / <br /> �:'�'�,��C�i�t��Sa��.�b�:���: /" ��'�Cc�%' :�ag+�. �%/3 �';'�'�° _ <br /> ;i <br />