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a <br /> V� <br /> D� <br /> ���� <br /> Total Fee: $ 3353.�o`f' DateReceived: 3�� �0� <br /> Entered By: Permit#: �3 <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 NT <br /> JOB SITE ADDRESS: �� � v � $� ZIP: SS3�'1 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ �To If yes, a special event permit is reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER:�C�� �. �:.�1 lq wl S PHONE: (home) <br /> (work) (ol Z-2 S I- 9 7 S'o <br /> MAILING ADDRESS: CITY:G�ask� ZIP: S 3 <br /> d oZ w. $L._. g�. �.. <br /> CONTRACTOR: fl. �� ` r G,S 4'�o�S PHONE: <br /> CONTACT PERSON: � C�.r���,� MOBILE/PAGER: (�l2-�Z S (—q?SO <br /> MAILING ADDRESS: (�2 �. `3'�' S _ S- CITY:�,tSk't ZIP: �-5-�!�' <br /> STATE LICENSE: # ZO� 91?�,3 EXPIRATION DATE: <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 /> Any earth movement may require MCWD review nd permits! <br /> PROPOSED W(�),TR�K(describ in detai�: ft' � ✓'•.•S► �t,. � � ,�- T <br /> I 1 �iS�-c.�iZ,v. 1�� <br /> STORIES: `���� SQ.FEET OF EACH FLOOR: ZD y S� �)S� Z ,� �'3 � <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED Z DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ZS���Q <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and aeeurate; <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 /> � ��Z��� <br /> APPLICANT S SIGNATURE: � DATE: <br /> �✓1�1�• t�,�l���„�s c��-. l�(,0�-3 <br /> 31 <br />