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Total Fee: $ DateReceived: 8-'��-O�o <br /> Entered By: Permit#: �IO a 3a <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 /> THE APPLICANT IS: (circle one) OWNE R CONTRACTOR <br /> JOB SITE ADDRESS: '�j����/ _�O�.'Th � N-o2.�. l7 t2 ZIP: _ S S 3�y <br /> Will this be a Parade of Homes,Remodelers Showcase I�ome or other Display Home? <br /> ❑ Yes �o Ifyes, a special evenl permit is reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless appdicant derr�onstrates <br /> suffzcient on-site parking is available. Non perrrzitted eve�zts will not be allowed. <br /> NAME OF OWNER: �(�� ��Qp� PHONE: (home)�S Z-�!7Z �709 <br /> � � (work)Cotz -�o3-ZZ S 8 <br /> MAILING AI�DRESS: S�A t�E. CI I'Y: C�02 c��o ZIP: S S 3�y <br /> CONTRA.CTOR: � W N� (L PHONE: S�r� � <br /> CON'TACT PERSON: �fl ,� '�� ,�� MOBILE/PAGER: <br /> MAII�ING ADDRESS: � CI'I'Y: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHI'TECT/ENGINEER: Sr4w�.�„ pgp�; <br /> MAII.ING ADDRESS: CI'TY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home odel/Alteration <br /> PROPOSEYi WORK(describe i�detai�: ' �m �A,r�•�. L A �� <br /> �J � � � �x i s-�� s"�2t��t 1.7 1�E�--� <br /> � N tt c�n�a� <br /> S'TO�S: 3Q.�ET O�'E�CH FLOOR: <br /> NO. O�'BEIDROOI��: GAI�AGE S'�"ALLS: �,'TTAC�iED DE'�"AC�D <br /> ac�C� <br /> ES'�Il�'I'ED COI�tST'RLTC'I'��1�T'V�TJA�CIOI�T(ex�tudira�i�rad): S �2 — �'�` <br /> I hereby apply for a building permit and I acknowledge that the inforcnation 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 Building <br /> Code;that I understand this is not a permit and wor is not to start without a permit;and that the work will be <br /> in accordance with t11e approved plan. <br /> ��a��c�rr��s sa�Na��: \ �ax�: � — (� - C�� <br /> 31 <br />