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, �' L�C f Q � c��e 5 i 7L� �Jlc4.. �'a � �S `� ��r�►t �- <br /> 4 <br /> � ��o� <br /> , <br /> Total Fee: � �g�• Z� 1� Date Received: �C� �7-Q Sr <br /> Entered By: �� — Permit#: ��`,�-s'_"�p � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print alf iizformatio�z) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR� <br /> / � <br /> JOB SITE ADDRESS: � ?j ��'j �C� ✓!C Ot� . � _ w.—ZIP: _�,�3 S <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS ❑ NO If yes, a special ei�eir�permit is r•eqtured ivith Polrce Depar•tmej�t and City Cozrr�cil npproval <br /> 60 dcays pr•io�'to the evefzt. Shzrttle btrs sei•vice tivill be reqi�ired unless applicant dernonstrates <br /> suff cieat on-site parkrng is avai(able. �Von-per�mitted events wi!!t�ot be allorved. <br /> NAMEOFOWNER: �j�A.� �pti✓�j /� PHONE: (home) �� Zr�/�«- -�!0 t� <br /> (work) <br /> MAILING ADDRESS: �� CITY: ZIP: <br /> CONTRACTOR: �t- � PHONE: ��� ��3 Z <br /> CONTACTPERSON: , MOBILE/PAGER: tt/2 Z,ra 7d�7 <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # ,/fr(�� EXPIRATION DATE: <br /> ARCHI7['EC'T/ENGINEEI2: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition �'� � A�ory Structtu�e <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detai�: /�a[d 3�"aC 7�� ' �`'f 40'��-- <br /> -j- rv..SS�"S <br /> , <br /> ST'OgtIES: r� SQrI'�ET OI+EACI-I I,I�O�: , . <br /> 1e1�. OF B�B�tOOIWIS: GARAGE S'I'ALL�: AT'I'ACHE13 �ETA�I�E�3 <br /> �STIIV�A'I'EI➢C'ONS'T1�IJCT'ION VAL,LiA'I'ION(excluding land): � Z' Z Qdd <br /> O �i <br /> I hereby apply for a building permit and 1 acknowiedge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the Cin� and with the State B�iildinQ <br /> Code;that I understand this is not a permit and work is t�ot to sta��t without a permit;and that the work will be <br /> � in accordance with the approved plan. <br /> EIPPLICAN'I''�SIGI�'A'I'URE: � / I)ATE: �� �`T �,� <br /> , <br /> 31 <br />