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Total Fee: $ I Date Received: <br /> Entered By: .fgA Permit#: O <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 CONTRACTOR <br /> JOB SITE ADDRESS: iat­ _,N 2ft CK ZIP: SS3`J CO <br /> NAME OF OWNER: to f JEu"r-4 r 6 QkPHONE: (home Y73-,35-)? <br /> (work) F y 7 b-5351 <br /> MAILING ADDRESS: /_t r" RAA K CITY: &204 o ZIP: 3 S3 S <br /> CONTRACTOR: 41fIF 0WAIC-Of PHONE: 86(o- g1o31 <br /> CONTACT PERSON: JoµN Ra 64 Ft#K MOBILE/PAGER: &51 5`1a -34911 <br /> MAILING ADDRESS: 7 o?,34 6064-J AV'`.S. CITY: ?�-r( b ZIP: 6SVa3 <br /> STATE LICENSE: # "A t L D -Fo R <br /> ARCHITECT/ENGINEER: /Vov-_ - j STS)J(o STkOM14QEPHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NA IE: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration _ Land Alteration <br /> PROPOSED WORK(describe in detail): S Ft-E A 77-WCk-E iS <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � 2�1 <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance ith the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: 66 -OD -00 <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />