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Total Fee: $ J ° Date Received: <br /> Entered By: n( Permit#: /O /8 <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 WNE)R CONTRACTOR <br /> JOB SITE ADDRESS: 3S0 t , GJ Nutj ZIP: 6S-35% <br /> NAME OF OWNER: LOCO Pxy-4-vw rs L L f PHONE: (home) <br /> (work) 1173 - S ,95- <br /> MAILING ADDRESS: fO. go,k al-6 CITY: L.rr y tc. .t ZIP: c,5" X, <br /> CONTRACTOR: 11,f6 �erh S et,a 4‘, S rec. PHONE: 11;0-a7 3;023 <br /> CONTACT PERSON: V i n Lt- V t'Ict‘ 444+10L-E/PAGER: 4.4-f/-7q31 <br /> MAILING ADDRESS: P.O. (3o x CITY: 0 6k -aoki ZIP: 55309/ <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: ,4)ekon- (2,4i 2 $/ ,LtPHO : 67 y'aq o <br /> MAILING ADDRESS;9575 ties,it) Alt 0. CITY: f a L ZIP: s S /PT <br /> NAME: Pau:4 ()CAA REGISTRATION# 3 <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): <br /> STORIES: 1 SQ. FEET OF EACH FLOOR: /7,'( <br /> NO. OF BEDROOMS: AM GARAGE STALLS: ATT.�',/E___ DET.AM <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ / ,S, ‘• 5— � <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 a •rdanc; wit theap e roved plan. <br /> 7 <br /> APPLICANT'S SIGNATURE: ✓fes., / 411/ DATE: /2,2/V <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 /> 9 <br />