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Total Fee: $ 3612 4 I Date Received: <br /> Entered By: Permit#: ►►-1 Lig <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: a\ 6.6 z w� �j\`t ZIP: <br /> NAME OF OWNER: * A \ ElN‘2 . PHONE: (home) <br /> (work)(1l a l `IS X 3 3 2 <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: GAio -c s v 54 PHONE: lL 1 _ 'lQ 33 2 <br /> CONTACT PERSON:c o\r\,\0 Z(1-A,k3 t 51<, MOBILES (Q 1- d.1-\ , <br /> MAILING ADDRESS:T1 •<,A\ \-E 3t. `N i CITY: 10;,'NE ZIP: 4LI9 <br /> STATE LICENSE: # n \-11 s r %() — (133 .2 <br /> ARCHITECT/ENGINEER: V ► Pt\ ., f c Liv c iPHONE:( _ 1 - ri <br /> MAILING ADDRESS: 1, �, S, ci, \czta bsv CITU: ^ W a. ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New ` Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): C d,,kt19 1 <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 SIGNAT � DATE: `t) - b tt- <br /> CI <br /> NOTE! Parade of Homes a en s equire eparate permit approval by Police Department and <br /> City Council 60 days prior t ,tee = - on permitted events will not be allowed. <br /> 5 <br />