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� ,`, ' � <br /> �o�° <br /> � <br /> Total Fee: $ �38. ��o Date Received:7 (� ���(;�: <br /> Entered By: � Permit#: ��LJ� � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print al[inforrnat�on) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER ORLCONTRACTOR� <br /> /� � � � <br /> JOB SITE ADDRESS: (��j� f"G{OI�Y��1�`�S YC�i n�� �t L� ZIP: >`>��� <br /> Will this be�P(arade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ YeS IJ�I NO Ifyes, a special event permit is required with Po[ice Department and Ciry Council approva[ <br /> !� <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> suffcient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �c�iGYlGlrtd ��G ���-� ����J'f-5 PHONE: (home) ��G� ��'' c���" <br /> � ' (work) <br /> MaILING ADD�SS: 1�� � -��i��t�SS ��' �ITY: (i►�n�, Z�: �,�L <br /> CONTRACTOR: Hunerber� Construction Co . PHONE:763-463-5040 <br /> CONTACT PERSON: B r a d W o 1 f e MOBILE/PAGER: <br /> MAILING ADDRESS: 1110 2 8 6 t h A v e . N CITY: M a p 1 e G r o v�Ip: 5 5 3 6 9 <br /> STATE LICENSE: # 3 2 4 3 EXPIRATION DATE: 3/31 /0 7 <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) a/ <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�:�tSS �ti�j"1GfC�� l�'1S�11/ <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $_ '����� �.T�} <br /> I hereby apply for a building permit and I acknowledge that the infarmation 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 /> � <br /> APPLICANT'S SIGNATURE: DATE: �l/�3�0�. <br /> 31 <br />