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Total Fee: $ 5 Date Received: r -aL�-0 f <br /> Entered By: Permit#: 6) V& 7 <br /> " CITY O ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR --,js� La-e-. <br /> (,c,i66e4,u 5k4J plc. <br /> JOB SITE ADDRESS: Z 6 9 7 Wa- Z.AA- RW ZIP: 5 S 35(0 <br /> qfZ • Y73-43414 <br /> NAME OF OWNER: pre � any PHONE: (home) <br /> (work) 64 y <br /> MAILING ADDRESS: _6y G 5 dwy/b q nl CITY: ZIP: <br /> pl ympuy-K Atn/ 5 5 vvz — /903 <br /> CONTRACTOR: /'.�ce;C rig GPHONE: CI S2 •Y7.3 -y3 yy <br /> CONTACT PERSON: .1a A to MOBILE/PAGER: (QRZ. £&75 -77 7.1., <br /> MAILING ADDRESS: PO Aox 575 CITY:L [,�� ZIP: -� <br /> STATE LICENSE: # <br /> ARCHITECTIENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> S� <br /> TYPE OF WORK: New Addition Accessory Stru re )( <br /> Move Remodel/Alteration�_ Land Alteration <br /> PROPOSED WORK(describe in detail): tt ,L&-zLj ""� &A�. <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 25 ,00V. 07) <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: A- 4TE: 7 8/6 / <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 />