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. <br /> � Totat Fee: $ .33•�� + 1.S� DateReoeived: �-5'�7 <br /> Entered By: Perm�t#: ;q�/D7R <br /> CITY OF ORONO-BUILDIATG PERM��' APPLICATION <br /> All information must be submitted in fi�ll be�ore plan review will be started. <br /> (please print all injormatioR) <br /> THE APPLICANT IS: (c�rcle one) OWNER O CONTRAGTOR <br /> JOB STi'E ADD1tFSS: �� � ZII': � <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Displsy Home? <br /> ❑Yes �1�[fl Ify�e�a speciol eveRt permit is required with Polece Departnrerit and City Cou►rcil qpproval <br /> 60 day�s prior to tl�e event. Sharule bus service wiU be requirert unless applicant deinaulrw�es <br /> su�cren[on-stte parkf�g is available. Nort-permined events wtI!not be allawed <br /> NAME OF OWNER: �1� � r �r C' PHONE: (home) -���9- ��1 <br /> Q�� ��) <br /> MAILINGADDRESS:I�'I�� � 10�10 �n� GTTY:����,ZIP: ^ <br /> CONTRACTOR PHONE: � b1 -?��l-� <br /> CONTACT PERSON: MOBILElPAGER: <br /> MAILING ADDRESS• - GTTY: ZII': <br /> STATE LICENSE: # 1"1 EXPIRATION DATE: - �- <br /> ARCffiTECTIENGINEER: PHONE: <br /> MAILING ADDRESS: GITY• ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Stru�ture <br /> 1Vlove Home RemodeUAlteration(ie: Siding,Windows) _�� <br /> Any earth cn4venient may require MCWD reva.ew and permits! <br /> PROP_O$ED WORK(describe�n detai�: <br /> 1 Yl`�'�O�\1 �.C� � 1 f1 � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(ezcluding land): $ �(� <br /> I hereby appty far a buildin�permit and I acknowledge that the infocmation above is complete aad accurate; <br /> that the work will be in confornoance with the ondinances and codes of the City and with the 5tate Building <br /> Code;that 1 understand tfiis is not a permit and work is natto start without a pernu�and that the work will be <br /> in aa;ordance with the approvad plan. <br /> APPLICANT'S SIGNATURE: DATE: � D_�J.V� <br /> 31 <br /> £'d 5ZLL6££Z69 �(uedwo� aeydo� eyl e0Z�06 LO 50 ��f <br />