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44- <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <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: ?FGam'/694 -r4 f ZIP: S Co 5t <br /> Will this be a jarade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes Zia 0 Ifyes, 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- allowed. <br /> events will not be <br /> NAME OF OWNER: i� GL�/ 4/!� 57e''7&)A PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 997a/A.4."--..s47-11,/CITY:6-144/L-0 ZIP:55�3�� <br /> CONTRACTOR: 5 '4 6r7,r. '- PHONE: Z-57 e' <br /> CONTACT PERSON:/..A-Nes re-7 MOBILE/PAGER: .52,11e__ <br /> MAILING ADDRESS: 51-23c- (CcQ. CITY: 54•garV. . ZIP: 5537 s--- <br /> STATE LICENSE: # ao 7/7 v EXPIRATION DATE: a3/a1 a� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY• ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth movemen may re ire MCWD review and permits! <br /> PROPOED WORK(describ in detail): g eese- 414-4 5 % <br /> / <br /> STORIES: r SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ GY0a <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 plan. <br /> APPLICANT'S SIGNATU i DATE: ,�--� G,' <br /> 31 <br />