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T � � <br /> � <br /> • Total Fee: $ � , g9 � DateReceived• 9-aa-0$ � <br /> Entered By: i// „� Permit#: 020 08' - oDa��- <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print aU information) . . <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: ,(�C��V�� �'Q r ar� Q.r�, 7�': SS 35�, <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � NO Ifyes, a special event permit is required with Police Department and City 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 /> NAME OF OWNER:�� ��{-�, �,r+si a,n PHONE: (home) <br /> (work) <br /> MAILINGADDRESS: 1QD5 k�+urt�' F�mn � CITY: dtro»a ZIP: ��535(� <br /> CONTRACTOR: 'gv�, PHONE:qSa�4�,-3'1453 <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: F-�,n. <br /> STATE LICENSE: #_a03 a5�5 EXPIRATION DATE: h./a„�..�, 09 <br /> ARCHITECT/ENGIlVEER: C.e�v Rrr,•s 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, Wiridows) �C <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSF{D WORK(describe in detai�: �`� ��IC�]�-�b 'Re� Q�QC9p�r� �, [Q�y�LI4 1/�M <br /> �ExiEsE���,g�. �� � 1.Y�,u.; de.c�c..�� �-.o o.i t wdu�s. Acl�d'�r� <br /> F-ttepfctuc� trt Frea►�e►��oom a+n� M�sc, �rr}cw.o�� MI�c✓�ca+►s <br /> STORIES: a SQ.FEET 4�EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED�CONSTRUCTION VALUATION(excluding land): $ ���00 ' <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 /> � <br /> APPLICANT'S SIGNATURE; DATE: 9-��_ <br /> ��o� <br /> 31 <br />