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t <br /> Total Fee: $ • <br /> / <br /> /4t- C, /Date Received: <br /> Entered By: /467 Permit #: I I "Z_�r; c' 2> <br /> 14:/1 V/ 7`-/c- -3 <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 R CONTRACTOR <br /> JOB SITE ADDRESS: 2.7$o (k) 04-(4.-Cic_te- ZIP: 55354 <br /> NAME OF OWNER: gC1"ar .a)0.24'K(!N PHONE: (home)q_57-z/75-7778 <br /> (work) <br /> MAILING ADDRESS: „so me_ CITY: L ot+5 La jc-e_ ZIP: 5 5 3 5 <br /> CONTRACTOR: (o use. PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: ►10 Ne PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remo.- • teration Land Alteration <br /> PROPOSED WORK(desc <br /> l detail):��Sw�tlt �usul� ,� va <br /> � Jou; o <br /> -For i(i-ty/Sto?.ase.. Gh -eta (t0'x rz') <br /> STORIES: SQ.FEET OF EACH FLOOR: 10/ x 2' <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ boo- .00 <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 ►.rdance with the . : oved plan. <br /> APPLICANTS SIGNATURE: �,_�� DATE: f-,2 #-o3 <br /> NOTE! Parade of Homes events require separate pe • it approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />