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v;:�-�'.7 <br /> �Total Fee: $ � a� Date Received: �0- /D—D$ <br /> Entered By: ;[?[? Permit#: _�QD gZ7� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pr•i�it all infa��nation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- --_--_ <br /> THE APPLICANT IS: (cif•cle one) OWNER O ONTRACTOI�� <br /> JOB siTE a��u�ss: � 7Jn /�o�� �% LLr,�r � ziP: ���S�a <br /> Will this be a P ade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �O If yes, n specinl event permit is reguired tivith Police Department and City Coaincil app�•ova! <br /> 60 days py�lor�to lhe event. Shztttle birs service will be�•eqtured unless applrcant dentonstrates <br /> szrffieient on-site parlcing is available. Non-p rn�itted events ivil/not be allowecl. <br /> NAME OF OWNER: C����`� /�-� JC)�`IZ/1 PHONE: (home) ��`�`7�'�31/ <br /> MAILING ADDRESS: � 7c�C� ✓V l`��IZl�"1 �l (work) <br /> CITY: G��Cyi�1-F? ZIP: �3�.� <br /> CONTRACTOR: �G�'� U� �- PHONE: ��d � ��� .5�7�� <br /> CONTACTPERSON: S � ✓hC� MOBILE/P ER: <br /> MAILING ADDRESS: / zf f�/ '(/ CITY: ����7� ZI : 53-303 <br /> STATE LICENSE: # -c�� CU`p EXPIRATION DATE: , �3� �c;� <br /> ARCHITECT/ENGINEER: PHONE: <br /> ,_ <br /> MAILII�G A�D�SS�__.__-------_..______---- -----.�_---CITY: ZIP: <br /> �..-----�- _ <br /> NAME: REGIS . <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration � <br /> PROPOSED WORK(describe in�letai�: ���/F�. ��1���� <br /> STORIES: Sf�.�'EE'�'OF'EACI�FL,OOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHEI) DETACI-�EI) <br /> ES'I'IlO�IATEi)CONSTRUCTION VALiJA'I'ION ding land): � ���i�C� <br /> I hereby apply for a building permit and I acknowle e th t information above is complete and accurate; <br /> that the work will be in conformance with the ordi ance a codes of the City and with the State Building <br /> Code;that I understand this is not a w k is o start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � I)ATE: �� � OJ <br /> 31 <br />