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ocro <br /> z.„," <br /> 4 <br /> Total Fee: $ ate Received: (-00 <br /> Entered By: c7( Permit#: /co 7 <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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: /5-30 O/QCNAQD a,?e it RACE ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> nYes n 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 required unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: -DAN ,ti,/e7 ?go Es e K cc_ PHONE: (home) 95-2.b'8�f f399 <br /> (work)952. fe32. 7/145-- <br /> MAILING <br /> <SMAILING ADDRESS: 2811 O✓ERsooK eiKeteCITYLootn,N6- ZIP: 57SSt3/ <br /> CONTRACTOR: 4 /HM l:u STom /Iom cs PHONE: 6S/. 689. 9737 <br /> CONTACT PERSON: Tom YYI t M m MOBILE/PAGER: 6,/2.. 3,11€3-z2s-0 <br /> MAILING ADDRESS: 8`712- t v i.pgNE CITY: EAsAN ZIP: SS/Z 3 <br /> STATE LICENSE: # Co 3 S EXPIRATION DATE: 3. 3/-Zoo? <br /> ARCHITECT/ENGINEER: {PN l LI-t Ps R1N r 44- Sdc- PHONE: 9S a. '/3Z- 20445/ <br /> MAILING ADDRESS: 1371 FkoaJT,E,2 CT. CITY: -Ru eit)Sdicc6"ZIP: SS337 <br /> NAME: M A e k tJ/ 6tE 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 detail): <br /> STORIES: 2 SQ.FEET OF EACH FLOOR: 3562, 3192 (BAseincii <br /> .2c131 2 <br /> NO. OF BEDROOMS: Sc GARAGE STALLS: ATTACHED / DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ / 92 0, 0 00 <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 e4ZDATE: 6- 20- 0C <br /> 31 <br />