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, . �` <br /> i � <br /> � <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PER:MIT 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 O CONTRACTOR <br /> JOB SITE ADDRESS: �Q �J ('�h�;Q,V y C�`,�y�D,�, iN��v��-Io,.,MN ZIP:S�S <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 reguired with Police Department and City Council approval <br /> 60 days prior to Ihe event. Shuttle bus service ivill be required unless applicant demonstrates <br /> su�cient on-site parkrng is available. Non permitted events will not be allowed. <br /> � a l�'� <br /> NAME OF OWNER: � �J � PHONE: (home) Je�- �' <br /> (work) <br /> MAILING ADDRESS: �O C C�ASe. CI'TY: IN� , ZIP: , <br /> � CONTRACTOR: � U�-��-, �Q�yyta�p�R� ��n L � PHONE: Cp�I'��� -r !�O <br /> CONTACT PF.RSON� z�— �S � ��BILE�'F�GEl�: <br /> MAILING ADDRESS: � (IG Dr CITY: ��`r'�"-��S ZIP: <br /> STATE LICENSE: # C,Q` (,� EXPIRATION DATE: 3 j <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) �� <br /> PROPOSEDWORK(describeindetain: � ���qC��,Q„r/�-�, ���'Y�'U UQOr` <br /> ' '�' � S`{'"'�" c a � Y-u C U �.�1� , <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACI��D <br /> � . �o <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �-�' <br /> I hereby apply for a building permit and I acknowledge that the inlormation 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 perniit;and that the work w�ll be <br /> in accordance with the approved plan. �'a�� <br /> APPLICANT'S SIGNATURE: ��� �ATE: ►`'� <br /> 31 <br />