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May 11 06 10: 35a Katie Runstrom 7637831811 p. l <br /> .. ���,y <br /> � <br /> Total Fee: $ �57 2 � Date Received: �" ��-��v <br /> Entered By: Pet�tcit#: ��qQ,S'g <br /> CITY OF ORONO-BUILDING PERMIT APPLICATION <br /> All information must be submitfed in faII before plan review will be started. <br /> (please print all information) <br /> THE APPI.ICANT IS: (circle oRe) OWNER OR C TRACTO <br /> Jos srrE�unxEss: 2c17o CsCD �i�1 f�: SS3�Z <br /> Will t6is be a P rade of Iiomes,Remodelers Showcase Home or other Display Home? <br /> ❑YCS �NO !f yes,a specia/evenr permit is required witk Police Uepartment and City Cuuncil approv�/ <br /> 60 days prior t o ihe event. Shuttle bus service will be required unless appliccml demo�rstrates <br /> su�cienl on-sire parking is available. Non permitled even�s wi!!not be allowed. <br /> NAME OF OWNER ;��P,Vl�GI ��Gl'f?'��'6l�! PxorrE: (home) �'S2 - �-1�1-��p 2 Z <br /> (work) <br /> MAII.ING ADDRESS: ,S��f� �.-d d r�S,�' CTTY: ZIP: <br /> coNTxacTox: o���e�h �S�i�� ��e`id�PxornE: 7�3- 7�3-/�2/ <br /> CONTACT PERSON: � MOBII.E/PAGER: <br /> MAILING ADDRESS: 119 7 S i/cvr-�• �: C`ITY: L�PXiir.�i�'/N ZIP: S�G/�/ <br /> STATE LICENSE: # /�'—�7� �e,� EXPIRATION DATE: 3/ZOI�7 <br /> ARCHITECT/ENGINEER: Nl� PHONE: <br /> MAII.ING ADDRESS: CITY: ZIP: <br /> NAME: REGIST'RATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home RemodeUAlteration (ie: Siding,Windows) Z <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in delain:_/���1.lL�C '� v�T/'�j��� lidd� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACIiED DETACHED <br /> ESTIMATED COI�TSTRUCTION VALUATION(exclnding land): $ ���U � � <br /> I hereby apply for a building permit and 1 acknowledge that the information above is complete and accurate; <br /> that the work wili 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 SIGNATLJRE: �!�6(:�l �LJ���(�/?// DATE: S 1! l d� <br /> 31 <br />