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To a1 Fee: $ 5, 09k _ 7 Date Received: G �' D <br /> Entered By: % i Permit#: /-1 t> =7 <br /> y-,3 0/ <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 O(ONTRACTOR <br /> JOB SITE ADDRESS: Z C.0 t t ,,,,LSA 1',\\ h3 ZIP: `.-- c j\ <br /> NAME OF OWNER: t-v '4_')/-M Ce,, �l4 , C L PHONE: (home) <br /> (work) `t - 47 -7.5, ---', <br /> MAILING ADDRESS: Z L; l;;\,,V;l` Cc? CITY: C x.10 ZIP: S <br /> CONTRACTOR: 7(_.().-70 7 C[>rrS r,c+c Jo,, PHONE: G I L Z( _ 4-'SC <br /> CONTACT PERSON: _J\) /4 Li rr'c -� MOBILE/PAGER: (Z 4C) ',, -`)S`_�`( <br /> MAILING ADDRESS: Z`(j 0 4J«sA I-i) 4,-.:.a CITY: MI(( ZIP: ` 1(1 <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: I +1\ A rt_rt Ot� PHONE: G (Z- 3?( - `t OS' <br /> MAILING ADDRESS: �4 L t4. `j 117 , CITY: N\i2(S ZIP: -s A-t\ <br /> NAME: h7(1,.' 1--\ 5�<< REGISTRATION# Z(S LG <br /> TYPE OF WORK: New Addition ' Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED /WORK <br /> ��(describe in detail): 4)),91,U�' �P,��� r. `� �' c k,4<-1-• <br /> 7.S ^it S' ,e .944,= <br /> STORIES: - \ SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: C GARAGE STALLS: ATT. C DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 4'- ,Cl;(`� <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: 4- (C:. k \ <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 /> 9 <br />