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M @Lk i?a iMi (eLe,O4iJ2m <br /> (-1 •""V` <br /> Total Fee: $ I/ 7 3 Date Received: G �Z <br /> Entered By: in y 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 /> THE APPLICANT IS: (circle one OWNER R CONTRACTOR�/ <br /> JOB SITE ADDRESS: /lv D 1/�! ll��� �G , E 1✓G( ZIP: 5535 (n <br /> NAME OF OWNER: A,di i am V1I Wear PHONE: (home)952 473-L/1)3O <br /> (work) 9 -4"75- 704"7 <br /> MAILING ADDRESS: p Q ,B o x '306 CITY:Lfl k 1KP ZIP: 35 <br /> � . <br /> (� <br /> ( cI'�\ CONTRACTOR: Sri 1— PHONE: SOrrie 9 S 0 VC-- <br /> CONTACT PERSON: tido. K MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration X Land Alteration <br /> PROPOSED WORK(describe in detail): K 0Li,, 0, �I m ' �l ,/ a <br /> o ,�,�� cu.�e✓ A, (e Ltd9e0,0 .fly <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /62f2t <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: I , ,"jj I' elq DATE: Sir) <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 />