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� ' <br /> � <br /> Total Fee: $ Date Received• <br /> Entered By: 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 /> THE APPLICANT IS: (circle one) OWNER O ONTRACT <br /> JOB SITE ADDRESS: 2 7�o Peh cG l c z�: S�3 3 / <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 appraval <br /> 60 days prior to the event. Shuttle bus service wil[be required unless applicant demonstrates <br /> sufficient on site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: />'1 r f/YI r s ��b�.v n.4.n PHONE: (home) 9'S'Z- y 71' S�'�G <br /> ��'�) <br /> MAILING ADDRESS: 2 7 I D /-e h f t L4h c CITY: C� Yo�-►-0 Z�� SS.�3 I <br /> CONTRACTOR: (,,�ucti s�� L-OkSTNc.�+'a�. �►� - PHONE: 952-47N-G �73 <br /> CONTACT PERSON: T��-F l.✓�k h���,, MOBILE/PAGER 9 S 2-Z 9�-Z S 9 2 <br /> MAILING ADDRESS: 90 13r�kf+-�cb� /�/�C CITY� �X�c�J�u r ZIP: SS 3 <br /> STATE LICENSE: # 3 S 3 _ _ EXPIRATION DATE: 3-3/-Z o e g' <br /> ARCffiTECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: C�� Z�� <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 /> P OPOSED WORK(deseribe i�t detai�: -�- S•2 c w r.�olo wS 4' �S � " <br /> w,•..d ..i � g d' �.�:o Do o r ,:. ,- �-��1 h•�.I� hqC„x}ia7�+c�, <br /> ''� oP — �1 sk►�, <br /> STORIES: SQ.FEET OF EAC`H FLOOR <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> aD <br /> ESTIlViATED CONSTRUCTION VALUATION(eacluding land): $�4'AQ:�"l� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and ac�urate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;t�►at I understand this is not a permit and work is not to start without a pernut;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATITRE: W ATE: 7� 2 d� Q � <br />