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Total Fee: $ Date Received: <br /> Entered By: Permit#: &2 jb a-g <br /> C�ill�d% (b-306 l�f/ZUSSaali <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 R CONTRACTOR <br /> JOB SITE ADDRESS: -70ze CAt-4rc44W�WAI 40,04 ZIP: .5,3,A s',6 <br /> NAME OF OWNER: -9,-v 106S Ji dt"e-f 4' -uWHONE: (home) ( 763)J'ry--2310 <br /> (work) <br /> MAILING ADDRESS: 4/6 fe .4 CITY: A�y vr.y ZIP: S`S'rec6A <br /> CONTRACTOR: Fw.-Ai PHONE: <br /> CONTACT PERSON: eze jAe- MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure k <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK (describe in detail): dc-,;c4 Q�r•9cN�Q .7S�x 3 �.9.e.991 -�c''� <br /> Ae"O'(/. <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ Zso©o <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: /-? �'f� DATE: 9/"/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 />