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Total Fee: DateReceived: ,oLl1-41 <br /> Date Approved: <br /> Entered By: Permit#: 7 3 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL <br /> BE STARTED <br /> -------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: Z`109 WAL-r'C-"RS P027r LAME ZIP: <br /> NAMEOF OWNER: w«"A'-^ db stisA� D��KI `� PHONE: (home) 4-1 I - 944-1 <br /> (work) 551 • t t t <br /> MAILINGADDRESS: -L-1o9WAL-CE7ZS Fba--r (A CITY: �� ZIP: 55331 <br /> a►z. <br /> CONTRACTOR: C. A - S r-t T14 PHONE: <br /> MOBILE PHONEXAGER: -1 is-o 0 3-7 <br /> MAILINGADDRESS: (,Ao PLeASA&sT y4--w Ro CITY: c-"Ar- kAO-sc-L -, ZIP: 5S3 -7 <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILINGADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition X Accessory Structure <br /> Move Remodel/Alteration x, Land Alteration <br /> PROPOSED WORK(describe indetail): 2c—k nflr__� r-Engks-ri-4(. L-0- '� / c"A 4,Z <br /> Roo F C m-1 R(o u tV�T�o.� 4 e-p--r�'C� �-�---CPt`r 3 ge`(o—o A <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 30 0©0 " <br /> I hereby apply for a building permit and I acknowledge that the information above is complete <br /> and accurate; that the work will be in conformance with the ordinances and codes of the City <br /> and with the State Building Code; that I understand this is not a permit and work is not to start <br /> without a permit; and that the work w' be in dance with the approved plan. <br /> APPLICANT'S SIGNATURE: ' DATE: l o • I o • of S <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 />