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V <br /> Total Fee: $ p I,+(10 Date Received: �'� / 110(1 <br /> Entered By: d4/4_1_ Permit#: A n 7S9-� <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 /> 0ronO /- �PiAc er-� Lot' <br /> Lo <br /> JOB SITE ADDRESS: o?1'O . 1449V ' G� ( 17(---/ &K2ZIP: 55356 <br /> Will this be a P rade of Homes, Remodelers Showcase Home or other Display Home? <br /> I I Yes A' No If yes, a special event permit is required with Police Department and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: kole.t-t ooPHONE: (home) 95) -9 -q-33 <br /> kir <br /> 'k t `` (work) <br /> MAILING ADDRESS: o2/ed kir ati2a , 0r1CITY: 1 LI(CCi, ZIP: 5_5_356_ <br /> CONTRACTOR: �e�'�C,. PHONE: <br /> CONTACT PERSON: 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 Accessory Structure <br /> Addition Move <br /> Remodel/Alteration x Land Alteration <br /> PROPOSED WORK describe in detail): _ .TA-S—tt_ v. <br /> e )1YLA .6 a. a, d Ot <br /> f wed (oQ 'kc /�\ r t'a� 5e_e. •r w <br /> •wr . U cCJ <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO.-OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �DQ M' <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: / DATE: /lite DSL <br />