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2tal Fee: $ L f LP (.p . S A nn, Date Received: 0 ).' ? 'c� <br /> Entered By: Z O t R p Permit #: / " L'2._( '9I 1� <br /> 101 <br /> CITY OF ORONO - BUILDINPERMIT 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 OR CONTRALTO <br /> JOB SITE ADDRESS: ' LU.`I <br /> co J \J �e.'-./ 1�i2 ZIP: <br /> NAME OF OWNER: Cr PHONE: (home)e SZ `I 3 -C•-1'a. <br /> (work) <br /> MAILING ADDRESS: S l„�eluc O,4-5 CITY: W NA- ;Pk--- ZIP: 3 S 34=x l <br /> CONTRACTOR: AJC {\ r S PHONE: Gi SZ- 3- <br /> CONTACT PERSON: ' t f �� z, MOBILE/PAGER: -xo3-&4 s -c.-1,1 J <br /> MAILING ADDRESS: ZIP: g�-39 t <br /> STATE LICENSE: #tea <br /> ARCHITECT/ENGINEER:` ? �l-�..�,. � PHONE: (S1-(cat (.&3'3 <br /> MAILING ADDRESS: Lill-1 t-lw� o N :�. CITY: / U LLS ZIP: <br /> NAME: ` r, e r c.v, REGISTRATION# <br /> TYPE OF WORK: New --7Z— Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): C 0 A 5112-,A-L,--r <br /> STORIES: SQ.FEET OF EACH FLOOR: -Not, /146i /11,6b) <br /> NO. OF BEDROOMS: Y GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ L 5�zT <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: DATE: Co/0 <br /> NOTE! Parade of Homes events req ' e separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />