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' . � <br /> ���D <br /> Total Fee: $ � Date Received: 7 <br /> / D <br /> Entered By: Permit#: � —� �1. <br /> CITY OF ORONO - BUILDING PERMIT AP�CA:TI�N <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 OR ONTRACTO <br /> JOB SITE ADDRESS: �S��lQ'�-�euaoo� R� D�D/UD ZIP: <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 Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> st fficient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �Cssr�cR �/�foWn�//@/i��1 h�s�4rCo�t' pHONE: (home) �Z-�Z �o�S'?S <br /> MAILING A.DDRESS: �CS/�RS/��b'�v aGr �d, CITY: �.OH/D (W�ZIP: `�'S�ql <br /> CONTRACTOR: _�c���d i f��us �,LC PHONE:�Ja,-`j/D�S`t�,� <br /> CONTACT PERSON: '',,{�,n� �i4w7`'ES MOBILE/PAGER 6'lal,-9L0 -v 5/�,S <br /> MAILINGADDRESS: P.O,Igox,Sl� CITY: ��s-/q�vc ZIP: S�'3�� <br /> STATE LICENSE: # �O 5�0 39�`j EXPIRATION DATE: 3-3/-O q <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�: CN� �,g�,� <br /> ( I �S o��' � ,..J/ <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATTACHED� DETACHED�¢i <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ c�,�O� ,C'�C� <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 SIGNATU DATE ` �� <br /> 3 <br />