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, � + <br /> !7'G�LI V GV <br /> � _�g ��8 2 � <br /> 3 <br /> Total Fee• $ /lo OD . D �v Date Received: �CIN OF Bfl011� <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 priht all information) <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: �7�� �t g���t,,�o t�1 �r�^, 7IP: <br /> Will this be a P�rade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑Yes ��No If yes,a special event permit is requfred with Police Department and Cdty Council approval <br /> 60 days prior to the event. Shuttle bzrs service will be required unless applicant demo�astrates <br /> sufficient on-site parking ds available. Non permitted events will not be allowed <br /> NAME OF OWNER• �o�� �' ��-2 U L �U sr�c.�rsft PHONE: (home) <br /> . (work) <br /> MAILING ADDRESS: 23�'U �3���c,pa�v�.�� CITY: d�.��v ZIP: <br /> CONTRACTOR: r� e� w��zcz -� c. PHONE: c!SZ-�3`���£�S y <br /> CONTACT PERSON: G-,�rz�, N�,,,4� OBIL AGER: (��Z �3��- I�1 I� <br /> MAILINGADDRESS: �q2c� iC��z►3�-c. `l3`�� CITY: Ci{r�,,,��,s��✓ZIP: S53t�- <br /> STATE LICENSE: # l Z C� 1 EXPIRATION DATE: �—�l- Z��$ <br /> ARCHITECT/ENGINEER: PHONE: <br /> A�AILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home RemodeUAlteration(ie: Siding,Windows) �/ <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: �c;�a A� v r M�ts��2 `���r���+ . �r r�c�. <br /> �ll�ihl �t^UtZ �/tt'�t� Lf�vwoPr2�1 6 �oula�2 �o�m ILi—reff�'AI <br /> STORIES: � 5Q.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED ✓z DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(ezcluding land): $ �� , I D U <br /> � <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 permi d work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> ' SIGNATURE: � DATE: 2/27/� � <br /> APPLICANT S <br /> 31 <br />