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1°1?. 10 `7 <br /> Total Fee: $ / O//t1-�/0 7 <br /> . Date Received: <br /> Entered By: a/,s Permit#: / //i S( <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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 9 7a0 W FI'Cc/2 TO aD ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> Yes Et No If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> , <br /> NAME OF OWNER: in 1, i e.5 ? -4.W / 01€114.F3 w PHONE: (home)763-eicq - /1-7E <br /> J (work) <br /> MAILINGDRESS: 4-Tao »tq ,.0 (z p CITY: p6 ZIP: <br /> µ, <br /> CONTRAC : U S L C.OA SV' PHONE: Gia-ato- i,V3 <br /> CONTACT PERSON: yv f-tat1 .to,e.A..J MOBILE/PAGER: log_- 7 3S-Zitc'7 <br /> MAILING ADDRESS: ' pi. JD,QaL er zi-o.3 cJ CITY: htN�n1 ZIP: S 3S- <br /> STATE LICENSE: # {al 04-1(.4 EXPIRATION DATE: ripe t' 7 —Oa <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition i< Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding,Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): E t v f Z.oc3 <br /> STORIES: Z SQ.FEET OF EACH FLOOR: 1 r(CE) <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 70),`9. <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved .l.• <br /> APPLICANT'S SIGNATURE: `� • DATE: /O/JVo7 <br /> 31 <br />