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Total Fee: $ ���� `y�' DateReceived: <br /> Entered By: �'� '>�'''`r Permit#: �/p��� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please priizt all infol•mation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER�OR CONTRACTOR <br /> __--� <br /> JOB SITE ADDRESS: 2'�-5 c�eYYIG�D[-P��1�,� ,�� l�rb�n ZIP: 55391 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO /f}-es, a specia!event permit is re�uired rvith Police Depru�tnrent and Ciry Council approval <br /> 60 davs prror to the event. Shuttfe bz�s service ivill be required iu�less applicant dei��onstrates <br /> szrffrcie��t on-site parking is nvnilab/e. �Von-per•n�itted ei�ents ivill��ot be allotived. <br /> NAMEOFOWNER: ��7-r��7��7�e��wUYv�eCks�rC�t�2,�PHONE: (home) 952-47'�-13D� <br /> (work) <br /> MAILING ADDRESS: 2�-5 ��erv� a lP, �c���� CITY: Z ZIP: 553.�i <br /> CONTRACTOR: �C�l f PHONE: <br /> CONTACT PERSON: � MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDR�SS: 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 and permits ! <br /> PROPOSED WORK(rlescribe in �letai�: YeY17CC��?� r?X1�S�t�i,(�' S11 �'G ��-C�il77z�1 <br /> a� -� �`���7. 7-r,c� c�r�,c�y;'��1���'-� � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACH�D D�TACHE� <br /> ESTIMATED CONSTRUCTION VALUATION(exctuding land): � �4��(1 <br /> I hereby apply for a building permit and 1 acknowledge that the information above is complete and acc�u�ate; <br /> that the work wiil be in conformance with the ordinances and codes of tl�e City and with the State Building <br /> Code;that I understand this is not a permit and work is not to start���ithout a permit;and that the w-ork will be <br /> in accordance with the approved plan. <br /> � <br /> APPLICANT'S SIGNATUI2E: � �� ' DATE: °��5-C��C <br /> 31 <br />