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� � �f�'�V <br /> , . ��Q I'� <br /> � �-b-o7 <br /> Total Fee: $ ��•� Date Received: ' � <br /> Entered By: C,I�WI Permit#: <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 I5: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �� �� /f//�-/�� ,����//'�ZIP: <br /> Will this be�ayPyarade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �J NO Ifyes, a special event permit is required with Police Department and City Council approval <br /> � .. <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> suff:cient on-site parking is available. Non permitted events will not be allowed. <br /> �/Z�S�q-��7� <br /> NAME OF OWNER:�,�,� .� �h K -f--�- PHONE: (hom _ <br /> (work _ �— <br /> MAILING ADDRESS: l�37�Br���/'�6��v� CITY: ZIP: 7G 3-7 8�!irzo x(��Z <br /> CONTRACTOR [�'�,xe�o�o�s Ga-��9e �r-.s 7� PHONE: ��Z'`��(-rl'y�� <br /> CONTACT PERSON: � ,`f� MOBILE/PAGER: <br /> MAILING ADDRESS: 9115 ,���rdy,��f CITY: � G -v� ZIP: Ss y <br /> STATE LICENSE: #��f���p EXPIRATION DATE: 3 Q <br /> ARCHITECT/ENGINEER: �i���e�,��5 So C PHONE: _cJ.�Z-�f7`�- �f/�� <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: /�1a�'k G ry�,�.Piy 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 r�jview and permits! <br /> PROPOSED WORK(describe in detain: �gy���� ���lrto� �u,,.,a�� <br /> . ,, <br /> STORIES: _� SQ.FEET OF EACH FLOOR: � ��� <br /> NO. OF BEDROOMS: p GARAGE STALLS: ATTACHED Z DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��3 � S_ l� <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 an 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: DATE: �Z S p <br /> 31 <br />