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t . � . <br /> y�,f�()�D�� -d�S <br /> ��f��� ��� <br /> Total Fee: $ �J�l�� DateReceived: 9^/7�0� <br /> Entered By: Permit#: �a9J��GQa�9 <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 infor�nation) <br /> THE APPLICANT IS: (circle onej OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: '�o�QS Nor�n S'�r� (Zcl• �'1av�v��,M� ZIP: _s�3�LI <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, 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 perrnitted events will not be allowed. <br /> NAME OF OWNER: _�i�kM��rk bu.i �xrS PHONE: (home)C45� ���3� <br /> (work)CS�)o?3a-Co�7a <br /> MAII,ING ADDRESS: _10'10�7 fU,Zcil�-. �Z,S'- CITY:�,r,�v'i I�-e ZIP: ,� 3,� 37 <br /> l �a <br /> CONTRACTOR: r�n�ta�-� �u�`��ers PHONE:CSSa��b'�5� <br /> CONTACT PERSO : ����,-�, �,�,a.k.� MOBII.E/PAGER �4 s-a)�a -�a�� <br /> MAILING ADDRESS: /aa3� �U��l/� A�,.s• CITY: l3ur�yv�'//e ZIP:�533'7 <br /> STATE LICENSE: #da�,g3g��{ EXPIRATION DATE: 3 3� o� <br /> ARCHITECTlENGINEER ���I� PHONE: <br /> MAII,ING ADDRESS: CITY: ZIP: <br /> N�: 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�:�e- s'� d v-oo�' �r_-� �1�1ec,�.e <br /> STORIES: 1 SQ.FEETOF EACH FLOOR: �t3�q' <br /> NO. OF BEDROOMS:� GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(ezcluding land): $o��bd p <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 pe 't and work not to start without a permit;and that the work will be <br /> in accordance with the approve an. <br /> APPLICANT'S SIGNA DATE: /7 <br /> 31 <br />