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i <br /> Total Fee: $ Date Received: <br /> 'Entered By: a, Permit#: /(` (L 2 3 <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) (WNEOR CONTRACTOR' <br /> JOB SITE ADDRESS: „ OO (,k/ !.r Fav a/U-] ZIP: 55391 <br /> PG avA f 51 <br /> it)etyza_1tom; Cw /V . <br /> NAME OF OWNER: _ • ! , 4 _ I'HONE: (home) <br /> (work) i°7 --4 955 <br /> MAILING ADDRESS: 5nrYtN a S• .4 1-10,je CITY: (.C,2y7_v.{-�t ZIP: 6,:'z,"39 <br /> CONTRACTOR: Outal i-y eirnSSir,r PHONE: F/,�-�,�y_`334, I <br /> 'i <br /> CONTACT PERSON: find. 03rii l-itrMOBILE/PAGER: ,?65-,3/b 931) / <br /> MAILING ADDRESS:/7sc e,,ily Rd. (a 7. CITY: L i t-h r_ ZIP: 33 C.Li 7 <br /> STATE LICENSE: # C er C ©s O'o ( ! ;c1 <br /> ) <br /> ARCHITECT/ENGINEER: jOk 1 Rol Arlh+PHONE: 503, col?,- 4336 <br /> MAILING ADDRESS: `/13 „� rrnr fi. tel_ CITY:at r(1ra _ZIP: 97b <br /> NAME: ,Tr': k ri Fr La-41-14- D -5 tcf r1 REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move • • Remodel/Alteration Land Alteration X <br /> PROPOSED WORK(describe in detail): ma Al _ , . di A. . . II - ■ s <br /> on 9C/r �.GL.rr.cie'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 p rmit and I acknowledge that the information above is complete and <br /> accurate; that the work will b in conformance •'th the ordinances and codes of the City and with <br /> the State Building Code; that unde;stand this is ►of a permit and work is not to start without a <br /> permit; and that the work will be 'a .ccor ince wi I se approved plan. <br /> • <br /> APPLICANT'S SIGNATURE: 4_ - ' ,,, DATE: q—ac, ---C1 <br /> ,_ 6 <br /> NOTE! Parade of Homes events req ire separate permit approval by Police Department and <br /> • City Council 60 days prior to the event. Non permitted events will not be allowed. <br />