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Total Fee: $ )3%9 . —Date Received: q_, �j-aoo3 <br /> Entered By: I j 3/U j SsL' .V Permit#: 4 u(0 (? <br /> 1 <br /> t/Y'J i ��� VLGt c:4__00 v =� ' coC'{- l( // <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 CONTRACTOR <br /> JOB SITE ADDRESS: cal50 t,k/-Z �1t›.5 1,k,_ ZIP: 5535�- <br /> NAME OF OWNER: a{-t'ad L'. akm PHONE: (home) <br /> (work) 2- 4/73 Ste_ <br /> MAILING ADDRESS: -PO lox o9(0 CITY: Lf,,� 4,14, ZIP: ,SS 3g. <br /> CONTRACTOR: H16rk PHONE: (4S I - a3 /ta S I <br /> CONTACT PERSON: Fs1 f=- c MOBILE/PAGER: G - (0(6 <br /> MAILLNG ADDRESS: 16,-1oo t„eu CITY:"Vc6A.A,,,, p,- Mo ZIP: Sscx.3 <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: AI60- PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NATE: REGISTRATION# <br /> TYPE OF WORK: New Addition )C Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): r ,4,„,, rnot- Lo1^ rk"0,_ <br /> • <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 win be in7cordance with <br /> thejp.r•ved plan. <br /> 0` DATE: <br /> APPLICANT'S SIGNATURE. J _ , ���, <br /> - <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 /> 5 <br />