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c <br /> Total Fee: $ I X03 b.b3 `a� Date Received: <br /> G <br /> Entered By: Permit#: , O7(,,O2 <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 CONTRACTOR <br /> y <br /> JOB SITE ADDRESS: 2.430 L.AkIK- ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes 9,No If yes, a special event permit is required with Police Department and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: -To NP[ 7 S*AQMe-t SICodiLUM Q PHONE: (home)1grL-Z4q- 1 I11 <br /> (work) <br /> MAILING ADDRESS: SAryKrt, CITY: ZIP: <br /> CONTRACTOR: 1'IymA.( g&F-J "MerS PHONE: `)fZ- 47S - 40777 <br /> CONTACT PERSON. ?Dn!! j3?_gq MOBILE/PAGER: 41-L 751 57610 <br /> ' 1 <br /> MAILING ADDRESS: /SU a t4gf sr. #j04 CITY: MI YZAM ZIP: $5 7 <br /> STATE LICENSE: #_2yl2I/*11f <br /> ARCHITECT/ENGINEER: DCC164 PHONE: 19CZ. V70 97 6 <br /> MAILING ADDRESS: i1&J/-2Sr' /jyj CITY: E c"r-1IGK ZIP: 5'S33 <br /> NAME: _tJ/" Skj[Aer REGISTRATION# <br /> i <br /> TYPE OF WORK: New Accessory Structure <br /> Addition _ Move <br /> M IKOA. Remodel/Alteration_ Land Alteration <br /> i <br /> PROPOSED WORK(describe in detail): K/rc.,A&Ar MkA <br /> �d mea 'ICC . <br /> STORIES: -- SQ. FEET OF EACH FLOOR: 3ZD 4l A" mOK,� SN!Lc <br /> NO. OF BEDROOMS: 00-- GARAGE STALLS: ATT. --- DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 9SOdd <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I , <br /> understand this is not a permit and work is not to start without a permit;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: <br /> i <br />