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Total Fee: $ 5 - 83 Date Received: Q l f� <br /> Entered By: Permit#: /10 / <br /> O2 teach i'/d�Y' lc� a7'� /o=yS"" <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) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: � LA&Zrlgy ZIP: <br /> NAME OF OWNER: //111 09 J51'I40X-� PHONE: (home) <br /> '! (wo k) <br /> MAILING ADDRESS: y�� u/ �i�� ''1CITY: ZIP: <br /> Vii <br /> CONTRACTOR: O/� �k t/� PHONE: <br /> CONTACT PERSON: Al /�/t1 , MOBILE/PA R: <br /> MAILING ADDRESS: 319W4401Ver CITY:&kAhA6PIVZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: /(, ��S/ 1 PHONE: 3 <br /> MAII.ING ADDRESS:(9 CITY:S( 41 s ZIP: <br /> FAME: :A rA 1<p s`r, REGISTRATION# <br /> TYPE OF WORK: New h Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): Z',4/2 /o)e 7- <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $�204 d <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/xlcor nce ith the approved plan. <br /> APPLICANT'S SIGNATURE: ' DATE: <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 />