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s <br /> Total Fee: $ Date Received: 3-2- 0�1 <br /> Entered By: Permit#: RD 7Z7(o <br /> LI<<f <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 /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: 4'-4b Roof Lake LAro n ZIP: 5s3� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> F1 Yes jX No If yes, a special event permit is required with Police Department and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER:TW W PHONE: (home) 7-7 IL <br /> (w k)�#1 <br /> MAILING ADDRESS: `f`T� I��P��LC( l�-� CITY: k j' ZIP: <br /> CONTRACTOR: V1 �� PHONE: o /,,- <br /> CONTACT PERSON: Y �— ef MOBILE/PAQER: bI 9Z .;2- 0-0 <br /> MAILING ADDRESS: QS Y: GYI yl b ZIP: 5P/'N <br /> STATE( NSE: # 1. <br /> LTA E <br /> ARCHITECT/ENGINEER: Ke 6I � I C I/� PHPNE: o `7��-��oZ <br /> MAILIN RESS 33.E ree' CITY: < �Z'10 ZIP: <br /> NAME: dREGISTRATION# <br /> �L,U��.�1►� l�i cei�5 e- <br /> TYPE OF WORK: New Accessory Structure <br /> Addition / Move <br /> Remodel/Alteration l/ Land Alteration <br /> PROPOSED WORK(describe in detail): 5e--e <br /> STORIES: 1 '12— SQ. FEET OF EACH FLOOD.: <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATT DET. <br /> 00 <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ F 1 <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: ----. DATE: �/� <br />