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��-� <br /> -,-2�6 <br /> Total Fee: $ ' �.o � Date Receive�l: J2� <br /> Entered Sy: Permit#• 1�"� � <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 C TRACTO <br /> JOB SITE ADDRESS: �L�1 O C.u�GO (�"`� 7� ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Z'e3 �NO lf yes,a special event permii is required with Polrce Department and City Courtcil approval <br /> 60 days prior ta the event. Shuttle bus service wi/1 be required unless applicant demanstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: U Q � /VI�L��l� e�ONE: (home) <br /> MAILING ADDRESS:��7� ���CD �f � • CITY: �D{'LD (W�ZLP: S-.� <br /> CONTRACTOR: Udvrh v�1 a�Uv� �!/10{'S �f'l�. PHONE: �L�3-7�3—l>2I <br /> CONTACT PERSON: !�(,� C B AGER: ��3—�-- ��$8"�� <br /> MAILING ADDRESS: w , v. CITY: (% 1�1� ZIP: �.� Oty <br /> STATE LICENSE: # — D S EXPIRATION DATE: 2,'(�] <br /> ARCHITECT/ENGINEER: IU�P'�' PHONE: <br /> MAILING ADDRESS: CTTY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition ✓ Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) <br /> Any earth moveme t ma e uire MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: �� � ���(�/1 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 12 i ��� � �� <br /> I hereby apply for a builaing perrrtit and I acknowledge that the informafion 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 /> , G UV � �c� �� <br /> APPLICANf S SIGNATURE: � 1 Y l ATE: � I � <br /> 31 <br />