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. C�o� <br /> , 1,�,a� <br /> Total Fee: $ ��3�7. (0� Date Received: ��'l��07 <br /> Entered By: Permit#: �//(o�{a <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: ��S ��-te�5 t�o o Ror,.i a zir: SS3a I <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �NO Ifyes, a special event permit is reguired with Police Department and City Counci!approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: -��'"'� S�A'SS PHONE: (home) <br /> 14�5 6P-E��4� R�• (work) <br /> MAILING ADDRESS: CITY: O'Q�p�-l� ZIP: SS'3�l � <br /> CONTRACTOR: S�Y� ��lA�'-4(o GO2P. PHONE: aSZ•4'IS•ZD�1'7 <br /> CONTACT PERSON: cA 2L SHITH MOBILE/PAGER: <br /> MAILING ADDRESS: �}3S CT�f' R� (0 1 CITY: MTKA ZIP: 55345 <br /> STATE LICENSE: # Zq $$ EXPIRATION DATE: ?�00 g <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) � <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detai�: 2.�=�ACc 4 S=7�sa�.t �OiZ�'E-� W�'T'h� <br /> �26�� 'F Sr=ASs� �Q2CN t 1�T R�oU� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 1 ZS004 "" <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: I I DATE: � � ��2 � �, <br /> 31 <br />