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otal Fee: $ �jt� �>�j,. �� DateReceived: vi`� <br /> ntered By: Permit#: <br /> t�•� � �ss�-P ��. � •2Y-a � <br /> * CITY OF ORONO - BUILDING PERMIT APPLICATION F�-�►^'S,�^'r`'` <br /> � ytp4 C.,q-�, F,N�-c �w�/.5 <br /> '�I� All information must be submitted in fu❑ before plan review will be started. ����'`' <br /> (ple�ase pri�it a/l information) <br /> - ---------------------------------------------------------------------------------------------------------------------- <br /> HE APPLICANT IS: (circle one) OWNER OR ONTRACTOR <br /> OB SITE ADDRESS: 3�y s �i/�SLJC /��' ZIP: <br /> ill this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �No If yes, a special event permit is regaiired tivith Police Departnaent ar�d Ciry Coi�ncil approval <br /> 60 days prior to the event. Shutt/e bus service 1vi!!be required unless applicant demonstrates <br /> sarfficient on-site parking is available. Non-perr�7itted events will not be allowed. <br /> AME OF OWNER: �e���� PHONE: (home) <br /> (work) <br /> AILING ADDRESS:'�0�,$ -S�SS��� �� CITY: ��d ✓►o ZIP: <br /> ONTRACTOR: ►II����O r�a��v►a� PHONE: � `�5 � g � <br /> ONTACT PERSON: e La <� MOBILE/PA ER: 612 221 �0`� 8 <br /> ILING ADDRESS: jSSo q�S-; Jz � ���I10 CITY: ��I h� ZIP: �_ <br /> ATE LICENSE: # Zov s 7 7 3 3 EXPIRATION DATE: <br /> CHITECT/ENGINEER: PHONE: <br /> r ��L�;T���r���: e���: �:�: <br /> AME: REGISTRATION: # <br /> YPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) —�C— <br /> Any earth movement may require MCWD review and permits ! � <br /> ROPOSED WORK(cleseribe i�r detain: S ee �pv��}�'�,��- �t–LLc" C c� � �.1..� I N'�C:��;Ll,`� <br /> S ORIES: SQ.FEET OF EACH FLOOR: <br /> O. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> STIMATED CONSTRUCTION VALUATION(excluding land): $ �d�� ��a� <br /> I Iereby apply far a building permit and I acknowledge that the infonnation above is complete and accurate; <br /> tl at the work will be in confonnance with the ordina es and codes of the City and with the State Building <br /> C de;that I understand this is not a permit and wor i not to start without a permit;and that the work will be <br /> i accordance with the approved plan. <br /> PLICANT'SSIGNATURE: ~ DATE: �✓ 2 /�Q b <br /> 31 <br />