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.1 <br /> Total Fee: $ ,�k�''i��� 7� DateReceived: �-,�-�% �7 <br /> Entered By: Permit#: y''j G'�� � U <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 infoj�matioii) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (ci�•cle one) OWNER OR CONTRACTOK <br /> JOB SITE ADDRESS: �2 O 6 S��A�b���� ZIP: S <br /> Will this be a Pa�•ade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ��i 0 If yes, a specia!eveizt permit is re�uir•ed�vith Police Depurtnrent mtd Cily Cozrncil npprova! <br /> 60 days prior to Ihe event. Shnttle bus service will be reguired iu�less applicant dernonsU•ales <br /> su�cient on-site parking is avnilnble. Noi�-pervnittecl events will not be allotived. <br /> NAl`✓€E OF��.�'N�P: S��•�� (.,b L'�� PHD1�7E: (home) <br /> work) <br /> MAILING ADDRESS:Z-�g� S'��1Do�� CITY: 6- � ZIP: L�c�2. <br /> cor�Tr�cTo�: G . �.LAti1 � �D PxoN�:�O l2 -q2o T o�`�� <br /> CONTACT PERSON: G�A ZT- MOBILE/PAGER:(nl Z-?S;0 -33(0� <br /> MAILING ADDRESS: � CITY: ��yJ,iy�Q.A��IP: <br /> STATE LICENSE: # 'z O S� 3 o EXPIRATION DATE: '� � <br /> ARCHITECT/ENGINEER: PHONE: <br /> NiAILING ADDRESS: CI�'Y: �IP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessorv Structure <br /> Move Home Remodel/Aftecation (ie: Siding, Windows) —�— <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(rlescr•ihe i�z detain:���y+�e. S'?UGCfl ,�'NS°�1''1,71.L ���1�' <br /> �nl �)rl G- � ''r��� <br /> S'Y'ORIES: � SQ.FEET OF EAC�-I FLOOR: <br /> 1�10. OF BEDROOlVIS: GARAGE STALLS: ATTACHED DETAC�IED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � SC�� tr9�A • � <br /> I hereby apply for a buildin�permit and I acknowledge that the infon�ation above is complete and acc�u�ate; <br /> that the work will be in confocmance with the ordinances and codes of the City and with the State Buildintr <br /> Code;that I understand this is not a permit ancl�vork is not to start without a pennit;and that the worl:will be <br /> in accordance �vith the approved plan. <br /> � <br /> A���IC��o�S��'i�f1����: �f���: l !� rb� <br /> �� <br />