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��{��� � 2� (I�d(a b� ��- �vtcc�Q�,�� vu�s v�c� <br /> Total Fee: $ Date Received: � � ; �� <br /> y . - <br /> Entered By: �'�'►t Permit#: ���;�{"'� ���,� <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 information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ._.___ __._._. <br /> THE APPLICANT IS: (circle on �-��=�OWPtI�CONTRACTOR <br /> JOB SITE ADDRESS: �/7�S� �c5r2 i7-� �-�v�fL. ///� ZIP: `�"��C� �"� <br /> Will this be a P�.rade of Homes, Remodelei•s Showcase Home or othe�•Display Home? <br /> ❑ Yes �,�No If��es, n specia!event permit is required lvilh Pofice Deparbnent and City Counctl npproval <br /> 60 c�ays pria�to tMe eve�Tt. Shi�etle bus service tivill be reqraired ur7less applicant demonstrates <br /> sarffrcient on-site pnrking is nvnilable. [Vors-per•n�itled events wil!not be allotivecf. <br /> NAME�F OWNER: C iZ��� �Gs a�t� PHONE: (home) �`��- ���3 <br /> (work) 5sa-`�3S- '�i�� <br /> MAILING A.DDRESS: .�s �%3o�/i- CITY: ZIP: <br /> CONTRACTOR: ,� 5 •Q�3�Y� PHONE: <br /> CONTACT PERSON: r MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZTP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: C�2�s u�� �'�o��.� �5��,� PHONE: t�Sl-S��S"- 39�I`/ <br /> NIAILING A.DDRESS: CITY: tv��o�„n� ZIP: <br /> NAME: �'�r,-,• �'��z.�.s�� REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure � <br /> Move Home Remodel/Alteration(ie: Siding, Windows) � <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(descriGe in detain: �=c�<• �v��� ���N..J <br /> S'�OI2I�S: ��-- 5Q.�'�ET O�+EAC�Y FL0012: :,c�v v <br /> NO. OF BEDROOMS: _"� GARAGE ST'ALLS: ATTACI�ED � I3�TACY�D_ <br /> ;�S'g'IlVIr�TEI)CONS'I'It�T�'I'ION VAI�UATION(exclud9ng land): � G�S-v�,� <br /> I hereby apply for a buildin�permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Buildin� <br /> Code;that( understand this is not a permit and���oi•l:is not to stai•t�vithout a permit;and that the�vork will be <br /> in accordance �vith the approvcd plan. f <br /> �;�/�,,'� _---- _ � <br /> ,; <br /> A�'�'L,ICAt�i'�"'S SIGNATUI2�: �i �:°���: ��/3 ��G'� — <br /> 3� <br />