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�o� ��3�-� <br /> Total Fee: $ 3J�1 � Date Received:_�-���Q(p <br /> Entered By: Permit#: J�j �Q <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 IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 3 7 7 5 BArs�vc Roq o ZIP: S 5 3 s G <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 p��ior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufftcient on-site parking is available. Non permitted events will not be allowed <br /> NA.ME OF OWNER: CN Q�S AMo E/►1�e,7- C N Fl(�/'1 H N PHONE: (home) �/5 7�- w�h v i r o <br /> (work) <br /> MAILINGADDRESS: 3�75 (3AYSiDr' R�pD CITY: (�Qvivp ZIP: SS35<o <br /> CONTRACTOR: I��Ek1� CNPa� (Sutc.D£�-S Tr�C PHONE: 952-88�-2225 <br /> CONTACTPERSON: �nv Lr..r��c.. MOBILE/PAGER: (012 - 328"/3� <br /> MAILINGADDRESS: yoi C-ssr �Sn si�'r CITY: 6[,00''1��broy✓ ZIP: SSy20 <br /> STATE LICENSE: # / 7 9� EXPIRATION DATE: 0 3� 3/�O 7 <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�: /2� X�2� Si1�'!� --� r,r��scH �4vv 5 r <br /> STORIES: SQ.FEET OF EACH FLOOR: /�/�1 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �Z. Q U U <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: 8 /S O ro <br /> 31 <br />