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� <br /> Total Fee: $ � ��� - �' � Date Received: <br /> Entered By: -;r,�, � Permit#: /���:?�;,��r� <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 inforrraatiorc) <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> � <br /> JOB SITE ADDRESS: �f 20 3 No,r� �I,o�- �(�`�� zlr: SS 3 S 6 • <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ 1�eS �NO If yes, a special event permit is reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: �db �^'��'�L� PHONE: (home) �Q L'R�L `I S2"Z3�� <br /> (work) ,v�y <br /> MAILING ADDRESS: �-I 2v"3 N . 5��Y, CITY: b��►�-v ZIP: :"L <br /> CONTRACTOR: 'S 1 d�'�c-�--� D���<... R�`'`'� PHONE: � ��L d�'L -�i 6y- ODI� <br /> CONTACTPERSON: T-LFf�ah G-.�����+ MOBILE/PAGER: � <br /> MAILINGADDRESS: � Y�� w�, z ,.T� ^gLvA CITY: S�Lo,,:�S P,,.�KZIP: SSy2� <br /> STATE LICENSE: # p � F�L,�.�.; ,.. ;,, EXPIRATION DATE: '07 <br /> ARCHITECT/ENGINEER: �l� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> Typ �� ,.�/� ion Accessory Structure <br /> � � �,(� del/Alteration (ie: Siding, Windows) <br /> �u _ �\ �equire MCWD review and permits! <br /> PRO ��' ,.�Ti�� M^o.�v.r..-�'S � s�+a,,,,� o,.� <br /> i <br /> ,�s- �-�� ����"�r,, �- <br /> ; .� '� ( � <br /> STO� �'� �� �`�(��� FLOOR: <br /> NO. ( �� � LS: ATTACHED DETACHED_ <br /> �- <br /> ESTII �� �� � �xcluding land): $ �� l��s <br /> I hereb � �� <br /> � (� � t the information above is complete and accurate; <br /> that thc ��� �� � ind codes of the City and with the State Building <br /> Code;t ����� o start without a permit;and that the work will be <br /> in acco�. <br /> � <br /> APPLICANT'S SIGNATURE: DATE: �" 2�� d � <br /> 3 <br />