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Total Fee: $ I/): 7 Date Received: 10 _-7 6)0--7 <br /> Entered By: ��— Permit#: / i y- U <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> 0��?� 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: ..-01� `TOO�WA 91) ZIP: <br /> Will this be a Par de of Homes, Remodelers Showcase Home or other Display Home? <br /> EJ Yes Par <br /> 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: BARz gawk f OZ61E PHONE: (home) /S2 x[75 3lZ <br /> (work) <br /> MAILING ADDRESS: --*-'� ImUlat RO PID CITY: pV yt O ZIP: ffiv— <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # J <br /> ARCHITECT/ENGINEER: PHONE: W <br /> MAILING ADDRESS: CITY: ZIP: r <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): 10( X l O' gdtQ <br /> STORIES: ► SQ. FEET OF EACH FLOOR: 10 rx 10� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 2 ,000 <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 with ermit; and that the work will be in accordance with <br /> the approved plan. <br /> lJ <br /> APPLICANT'S SIGNATURE: / DATE: 11//3103 <br />