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I <br /> 4 <br /> ).k C <br /> 1 Fee: IN <br /> `�-• ' Date Received: <br /> i.ota F $ <br /> Entered By: Permit#: It Q iA <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION - <br /> All information must be submitted in full before plan review will be started. <br /> (please print ail information) _ <br /> TIE APPLICAIr'T IS: - (circle one) °EZ--)WNEJ9DR.CONTRACTOR • - <br /> JOB SITE ADDRESS: 1'2--1° W I ku--vs-f- T V 0- j- ZIP: 3 Li I <br /> NAME OF OWN. ER: il& `) -/ 0 s ( L_ PHONE: (home) 472-3 (e- I <br /> (work) 1 <br /> MAILING ADDRESS: c 1•Vv -- CITY: ZIP: <br /> CONTRACTOR: scI fl. - . PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: Zit': <br /> STATE LICENSE: # - <br /> ARCHITECT/ENGINEER: PHO`E: - <br /> MATLLNG 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): K7-L- _Ski K-C\ 1•6 <br /> STORIES: 4 ? SQ.FEET OF EACH FLOOR: I ( C DET. <br /> NO. OF BEDROOMS: L GARAGE STALLS: ATT. _ - <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 67`: G ij - <br /> I <br /> I hereby apply for a building permit and I acknowledge that the information above is complete andel <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and <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 th approved plan. <br /> C/ <br /> SIGNATURE: 7G <br /> ���c__ l<,,7_,-- <br /> APPLICANT'S DATE: �� `7±; <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 />