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Total Fee: $ 2x) 1.06 Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> -4-;17) (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR C ITRACTO. <br /> JOB SITE ADDRESS: 21101- \N- La-Fak.y12-oc.d ZIP: 5533k <br /> NAME OF OWNER: SECa\t`( \t Cc-1-3, PHONE: (home) -`-lel - 1053 <br /> (work) <br /> MAILING ADDRESS: 2U0l' w' L - ld• CITY: CW ''c ZIP: 5533 <br /> CONTRACTOR: &A-(106(-- -clYtV-Y1' —A Pc.i PHONE: I(2--0)-"Al <br /> CONTACT PERSON:Pcra- I Emu o \01MOBILE/PAGER: <br /> MAILING ADDRESS: I E• a51''N t-x-c.t, CITY: rbi.31S ZIP: 5SNa(, <br /> STATE LICENSE: # (AM a3 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail):Te.Mi'X.1 OCNciYA Sik:Ak svkk ,rS-tatl ay a- <br /> WOO s t\l l nkbW\it ,Fuca klckSvO . VAAA0v1- ate, <br /> cQ.J% .cL w w s u Ll <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 10,Soo . UO <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: ,�.!( C , ,,o,DATE: 7'-X1--02 <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 />