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Total Fee: S DateReceived: <br /> Date Approved: <br /> Entered By: ;1 ) Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL <br /> BE STARTED <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: 02 7W OliteOCfk1 e.46Q/ ZIP: -6356 <br /> NAME OF OWNER:dohtl Shuiron PHONE: (home) 4./6—`f S? <br /> (work) <br /> MAILING ADDRESS: �aarnL) CITY: Oahe ZIP: 553S(, <br /> CONTRACTOR: ( )ft6) PHONE: <br /> MOBILE PHONE/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 V Land Alteration <br /> PROPOSED WORK(describe indetail): �_ _ k_. v • • I I\� PS I©rt <br /> nock-ing owt (j?aLl o o� ci t mc�.k arm !army neva tai 4.mss <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ I O)Wo <br /> I hereby apply for a building permit and I acknowledge that the information above is complete <br /> and accurate; that the work will be in conformance with the ordinances and codes of the City <br /> and with the State Building Code; that I understand this is not a permit and work is not to start <br /> without a permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: % t, �lAA;Vi��J ?Lliytfr ) DATE: —/ -9� <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 />