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Total Fee: Date Received: <br /> Entered By: Permit#: 2 <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 information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (eirclle��one) OWNER R CONTRACTOR <br /> JOB SITE ADDRES V N IP: 653 59 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes No If yes, a special event permit is regzrired with Police Department and City Cozrncil approval <br /> 60 days prior to the event. Shzrttle bzrs service will be regzrired zrnless applicant demonstrates <br /> sz ff tient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: C� r)5 �cr b i eSe_vN PHONE: (home) r $ $X2104 <br /> (work) <br /> MAILING ADDRESS: Iloa CITY: {AaV\e +,�r ZIP: 55354 <br /> CONTRACTOR: Brij PHONE: G1 �2 i <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS:/lop * •ri 1, ra CITY: My*\.-_tkjWVs ZIP: 555524 <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: A\N\ SPHONE: '7to3 q-79-Ag5 t <br /> MAILING ADDRESS: q5 sk ,,,,� CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> l <br /> TYPE OF WORK: New Home Addition Accessory Structure �_ <br /> Move Home Remodel/Alteration (ie: Siding, Windows) 9- <br /> Any earth movement may require MCWD review and permits! t\A <br /> PROPOSED WORK(describe in detain: A C%A..P <br /> t_ <br /> STORIES: _ t SQ.FEET OF EACH FLOOR: >;7cxD <br /> NO. OF BEDROOMS: _3� — GARAGE STALLS: ATTACHED a_ DET HEDe;ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Oil I hereby apply for a building permmit and I acknowledge that the information above is copleteaacc <br /> that the work will be in conformance with the ordinanc and codes o ie City and with the State Building <br /> Code;that I understand this is not a permit an ofXostart/tho t a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATUR DATE: I /d <br /> 31 <br />