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• <br /> ja <br /> Total Fee: $ Is Date Received: A oz(c$ <br /> Entered B <br /> y: � Permit#: 2.V I c k <br /> L <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(jONTRACTO) <br /> JOB SITE ADDRESS: 7,20 to J e. O k ZIP: 6-33S6 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> Yes I I 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 /> NAME OF OWNER: Ch/}I ) PHONE: (home) <br /> L � � (work) <br /> MAILING ADDRESS:o,7�Q Wink.T.d41 MCITY: cm ZIP:�S5S'6 <br /> CONTRACTOR: bR vi-r1) Lcierlehicvt COvi$1- nc. PHONE: 642.- Q`f 7 7 <br /> CONTACT PERSON: $k��,,;� MOBILE/PAGER: <br /> MAILING ADDRESS: ;DAS�t.►w.0er �� CITY: h1�i .k ZIP: /11.41 <br /> STATE LICENSE: # X0,,2 y, 7 EXPIRATION DATE: 3- )-c 7 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Add' '•- Accessory Structure <br /> Move Home •emodel/Alteration (ie: Siding, Windows) <br /> Any earth movementrequire MCWD review and permits ! <br /> PROPOSED WORK(describe in detail): /1-� �-he. �-O %(JC�:iiJ 6-54a <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ /b) 0 O Q <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 • start without a permit;and that the work will be <br /> in accordance with the approved plan. / � <br /> / <br /> APPLICANT'S SIGNATURE: 74p, jar DATE: / oZ $ d c <br /> 31 <br />