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71 <br /> Total Fee: $ Date Received: `d <br /> Entered By: C,l,. Permit#: -7 <br /> CITY OF ORONO - BUILDING PERNUT 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 ONTRACTOR <br /> JOB SITE ADDRESS: /D-7o I uw k tjc, ZIP: Sb ?620 <br /> �l�OYJ 0 <br /> NAME OF OWNER: —rM PHONE: (home) 745--- //0 <br /> (work) <br /> MAILING ADDRESS: 14 4 CITY: ZIP: <br /> CONTRACTOR: Tt 1 Wj 60C� PHONE: -17� <br /> CONTACT PERSON: Kly Cka- ak MO E/PAGER: 3` <br /> MAILING ADDRESS: '?qCD 157. 4 ae CITY: Wa ZIP: 5S3 <br /> STATE LICENSE: # - <br /> aOD <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition_)� Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): wa)� � lj te4 Lym hf4 <br /> 1 <br /> STORIES: 2- SQ. FEET OF EACH FLOOR: 16 63 __ 4W <br /> NO. OF BEDROOMS: 4 GARAGE STALLS: ATT. _ DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 47 11 a0D <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 with the approved plan. <br /> APPLICANT'S SIGNATURE: -%,r C Mdi4 DATE: <br /> NOTE! Parade Qf 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 />