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�� <br /> . . , ��� <br /> Total Fee: $ � 3�� • ��� DateReceived: ��` �Z� � �� � <br /> Entered By: �i Permit#: l �- / J�_��? <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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �5�00 C j,�-S CcU 'PO I/UT ��. ZIP: 55 3�� <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � 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 wi/1 be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> (�Zv�U �'t- SUSAI�NE �,tJ C�t� ?ls3 - 443--77�� <br /> NAME OF OWNER: ��U�CUF2� PHONE: (�) e�Lc. ��3 - 2� � -93 rq <br /> (work) �71v 3 �-�7� -3�'�6 <br /> MAILINGADDRESS: ��R S/ff}NNJN L1��c�TY: MO(,�.1� ZIP: $S_�(o� - l �a a <br /> E�M� e1�-25'c� -9s o� <br /> CONTRACTOR: �Gl'',(,(,� 2 �C'. F� I f�1�CS rxo�: �s�-�;s�� -o�c� <br /> CONTACT PERSON: 1�o���(,a����,� MOBILE/PAGER: (a(a-- a SD•-�3 pC� <br /> �iLiNc avn�ss:�l� � 'w PT, I�1�ciTY: �u�-YZ�7v4 zlr: 5 5�91 <br /> STATELICENSE: # ,�-OS'74�OC� EXPIRATIONDATE: �� -31--Z�� <br /> ARCHITECT/ENGINEER .:J'�K�lJ il D G�T��°-�t PHONE: lo ��- ' �-S� -`�3 D O <br /> MAILINGADDRESS: �,�-[`� �LE��( GOu�T CTTY: ,�L, f-I, ZIP: $�4'�(0 <br /> NAME: _---J' REGISTRATION: # <br /> TYPE OF WORK: New Home _� Addition Accessory Structure <br /> Move Home Remodel/Alteration(ie: Siding, Windows) <br /> PROPOSED WORK(describe in detain: E3 Ul�:p /,v 1��j� -(�(J l �-�'NL g�,G��- <br /> STORIES: _�� SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: 3 GARAGE STALLS: ATTACHED� DETACHED <br /> � �-- <br /> ESTIMATED CONSTRUCTION VALUATION(exduding land): $ S ,`7�� B <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the wark 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 SIGNATURE: � DATE: �'" �S --C�gj <br /> 31 <br />