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1 , <br /> Total Fee: $ 31 ,._3`/ Date Received: 4/jg/9 <br /> . 1 <br /> Entered By: 07 Permit#: //7 7 <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: G _7 S -C.% Y n iec- ZIP: <br /> NAME OF OWNER: 12 I CIC 5tad k_ PHONE: (home) q-13 O7 <br /> (work) <br /> MAILING ADDRESS: S-7 S O . e rz ( ?J CITY: 0 t7 r ri C) ZIP: <br /> CONTRACTOR: C„(,'S--0 Y>'l c) ` > PHONE: C .33 0 55 <br /> CONTACT PERSON: 'SZ"k V\ MOBILE/PAGER: <br /> MAILING ADDRESS: V.-/ CSU cL XC ova /UNITY: F1°plc,ry, ZIP: ,3"-, <br /> STATE LICENSE: # Oe? <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 1 <br /> PROPp)SED WORK(describe in detail): --L c j 0 vt („„1/ yvl IVX 42,0 <br /> to2kkb4 S pc/t. <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <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 ; LI/ DATE: 34 c_( <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 /> 5 <br />