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Total Fee: $ ��l DateReceived: �'�'08 <br /> Entered By: Permit#: f1�2093 <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 O CONTRACTOR <br /> JOB SITE ADDRESS: �-6�5 �J�✓t� S � DV ZIP: ,��35 G <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YCS �NO If yes, a special event permit rs required with Police Department and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAMEOFOWNER 1'2�( ��YI ary ��G�y PHONE: (home)`l5�'y�3• Q,yg' <br /> Qw••I (work)6/� - 33)- ��6 y <br /> MAILING ADDRESS: �'6/5 �U..n�iyj��{ D✓ CITY: Orvit D ZIP: ,S�`3� <br /> CONTRACTOR: k�,t�ev,K. ry����g l�ow�es PHONE: �6� - v�'-�c� ( <br /> CONTACT PERSON: ��4,,��,. MOBILE/PAGER: G/) -3(,eG - 6/�9 <br /> MAILING ADDRESS: /4� ��,;�,,,,u, ,�- W CITY: L�rc� ZIP: �j+ � <br /> STATE LICENSE: # �(?3$ EXPIRATION DATE: � <br /> ARCHITECT/ENGINEER: C� ,S4h�,l�e i- ��r�<. PHONE: �S I — �Y�? - �`C��h/ <br /> MAILINGADDRESS: 3�l;c( (ekt�.�,�. A,,� �CITY: 3{�Jrc�`c� ZIP: 3��}� <br /> NAME: G1e�,,� C,, y REGISTRATION: # <br /> TYPE OF WORK: New Home Addition � Accessory Structure <br /> Move Home RemodeUAlteration (ie: Siding, Windows) � <br /> Any earth movement may re uire MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: Rar►��� �1h Q �t 8 <br /> $G►-�•L�n u vrs � � o �v � /�+ <br /> STORIES: d� SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: `'� GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��� v(1 L� <br /> I hereby apply for a building permit and I acknowledge that the information 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 permit;and that the work will be <br /> in accordance with the approved plan. � � <br /> APPLICANT'S SIGNATURE: � �DATE: -�^� '"��� <br /> 31 <br />