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Total Fee: $ Date Received: <br /> Entered By: Permit#: <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 /> -- ,.._._________..._______ <br /> THE APPLICANT IS: (circle one) OWNER OR�CONTRACTO�R� <br /> JOB SITE ADDRESS: 47C� P�I E, 15LJ11�t� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a specral event per•»�it is r•equired with Police Departrnent and City Coamcil approval <br /> 60 days prior to the event. Shuttle bus ser�vice rvill be reqz�ired unless applicant demonstrates <br /> su�cient on-site parking is available. Non-per•niitted events lvill not be allowec�. <br /> NAME OF OWNER:C+�P�S � C�hiL BOL.I.�S PHONE: (home)g5Z-4�3-5Z89 <br /> (work)9 5 2- 935-�►3 1 <br /> MAILING ADDRESS: 220 5Tu3B5 t3�+Y 1Z�. CITY: L�rit� �-.q►Z�. ZIP: 55 35Co <br /> CONTRACTOR: ��- t�1�2�sGH �;�►�t�� �+.�C• PHONE:�co3-97Z-z�tf.o <br /> CONTACT PERSON: �v,4�E t{ i2 sc}-� MOBILE/PAGER: (v►Z- 7 59-aZ3 5 <br /> MAILING ADDRESS: P,O, gc�� (�33 CITY: DEI..�No ZIP: 55 28 <br /> � STATE LICENSE: # (Z�{c� EXPIRATION DATE: Z ob � <br /> ARCHITECT/ENGINEER: ��/� PHONE: <br /> �- <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WOR�: New Home Addition Accessory Structure <br /> . Move Home RemodellAlteration (ie: Siding, Wi�dows) `� <br /> - Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe iii detain:_� �...i V,QM, K R��� �A'�'� W�*►flow5� <br /> T��-e. oC� � Q��F <br /> STORIES: I SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: Z GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 2�, 5UU�� <br /> I hereby apply for a building permit and I acknowledge that the infonnation above is complete and acciu-ate; <br /> that the�vork���ill be in conform3nce���it}:the ordinances and codes of the City and���ith the State Buifdin� <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: t Z c3 O <br /> �l <br />