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w <br /> f Total Fee: $ J:39-7y.; Date Received: e <br /> Entered By: �h. Permit#: <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 /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) 1 OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 15�D Wot+e,-4-yu� Rd ZIP: <br /> 0 V-oV%0 M N <br /> NAMEOF OWNER 3 o k r� J o1 c k 1- '`z""PHONE: (home) -73/ <br /> Z-002-3 /lit �c H z��e (work) q 7 3--7 oa D <br /> MAILING ADDRESS: fir,,',ti.f- a/. CITY: M H+KC4 ZIP: <br /> CONTRACTOR: t2; k+ I e f�v,(oi CoY PHONE: y?3' 37 0 <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: 0. 130 GI-(3 Wctyyaj-kITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: : 114 ;(at; - P✓ NE: 14 -7 3�03-713 <br /> MAILING ADDRESS: Sct w`C CI ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK (describe in detail): Fewwe <br /> vc c .�l•�•� , ; -�-��i115 cy �Ko es-f. <br /> w f"'V W S. f v W%-e 1nP w W a k l t ay r 5 F loed rco m< /terx f-1�yaow�S axe/ w1 �'. • A fac-4-1 <br /> tt(1 W:r,&k p w S oLc vY S a,d -1-►-� h� . old �^ b ed(.ro o�S o� 3- 6"+k5 <br /> STORIES: (Z� SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1167-1 ( <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 inI=P <br /> he approved plan. <br /> APPLICANT'S SIGNATURE: ATE: 1 (- I 0 -17 <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 />