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Total Fee: $ Date Received: <br /> Entered By: Permit#: L /Z c./; C, <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) COWNEi)R CONTRACTOR <br /> JOB SITE ADDRESS: \D\D L.DN\b..3 0Q ZIP: SS c 6 <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> Yes 3No 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 <br /> available. Non-permitted events will not be allowed. <br /> NAME OF OWNER:)0,\C)04\ C 1QTc7-�� PHONE: (home) c[5 Z-471? d <br /> (work) 64.7_i'o)($ <br /> MAILING ADDRESS: 1D\c w .% w,,,Z)ve CITY: p(cNij ZIP: 553c> <br /> CONTRACTOR: �o.(.Q_ C ,Qkl0 ;\Sort- PHONE: (VL 3(4,- 14 6T <br /> CONTACT PERSON: (.4. \_ MOBILE/PAGER: 6‘1.-- - 4 q <br /> MAILING ADDRESS: Q,o• So Tao CITY: Cpk�1-0 ZIP: •�S31.4 <br /> STATE LICENSE: # EXPIRATION DATE: <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) 1�c1L <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): 'Dv ` -'i)cxoc_ ST�:cs <br /> co r -..t k- <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3,011 <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 approve- plan. <br /> APPLICANT'S SIGNAT'. ' : ' `�:\64' DATE: 6:), Zc7 7_06 <br /> 31 <br />