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��:�:�p <br /> � Total Fee: $ Date Received: ����—�� <br /> Entered By: Permit#: � /plo8'�'f <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please p�•iiit all infot�nzntion) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -��rrn�� w�d.�r�- a 389 �3l� �C <br /> THE APPLICANT IS: (ci��cle one) OWNER OR ONTRACTOR <br /> JOB SITE ADDRESS: 3(p� �Or��r`2- ID�� �1,� � �U ZIP: 5539Z <br /> Will this be a Parade of Homes, Remoclelers Showcase Home or other Display Home? <br /> ❑ YCS �NO !f yes, a special event permit is r�eqzrired tivith Police Deparbnent and City Coarncil approvn! <br /> 60 dc�ys prior to the ei�ent. Sharttle Gus service 1vi!/be r•egiris�ed zinless applicant demonstr•ales <br /> si�fficienC on-site par•hing is available. Non-pern�itted events 1vi11 not be nllotived. <br /> ���,�,�'¢(V NAM�OF OWNER: �Q,y��"; B�{t�.y�, �0V-�� PHONE: (home) <br /> v (work) 9 Z �34$0 <br /> MAILING ADDRESS: �$DX �p5 CITY: rrC. ZIP: .55�Z <br /> �Ol`dTRA�TO�: ��G1►`FiF �{vu2S� LLL P��1�'L: �bZ �0( Sg� <br /> CONTACT PERSON: ��til WD✓w.S MOBILE/PAGER: (otZ Z�3 $�'�j� <br /> MAILING ADDRESS: ���oq �v}c�,� p�, s¢-�. !oo CITY: l���w�e'�I�, ZIP: 55345� <br /> STATE LICENSE: # 2o�}��qZ. �XPIR.ATION DATE: F�a-c h 'o� <br /> ARCHITECT/ENGINEER: �ll�c PHONE: <br /> MAILING ADDR�SS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessoiy Stcuctuce <br /> Move Home Remodel/Alteration (ie: Sidi�lg, Windows) <br /> Any earth movement may require MCWD review and permits ! <br /> PRO��SED`�JORK(describe in deta'!�: <br /> p�l(� �,r�s� -5�-e p �,�nS SPeGS-. <br /> T T <br /> STORIES: �_ SQ.FEET OF EACH FLOOR:� ��� <br /> NO. OF BEDROONIS: GARAGE STALLS: ATTACI�ED DETACHED <br /> ES'I'IMATEI�CO1VS'TRU�C'I'I01�1 VAI,�J�-1TION(excluding land): � �D�,Q'' <br /> I hereby apply for a buildin�permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance�vith the ordinances and codes of the City and with the State Buildin� <br /> Code;that I understand tl�is is not a permit and work is not to start w�ithout a permit;anci that ti�e�vork will be <br /> in accordance �vith the approved plan. <br /> A�PLICANT'S SIGI�ATURE: k/Gu� DATE: <br /> ;�, <br /> �i�' � � 31 <br /> ; i <br /> il;' I <br /> :ii' a6 , , <br />