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Total Fee: <br />Entered By: <br />Date Received: 4 '�3 a / 3 <br />Permit #: - - <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 orae) OWNER OR CONTRACTOR <br />JOB SITE ADDRESS: C � P � ZIP: <br />Will this be a Pa •ade of Homes, Remodelers Showcase Home or other Display Home? <br />El Yes MNo If yes, a special event permit is required with Police Departinent and City <br />Council approval- 60 days prior to the event. -Non permitted events will not <br />nbe allowed. <br />NAME OF OWNER: D�1�-[ �� Q t-\kv F- PHONE,; ---(home A- <br />(work) <br />Nnnnn Z > '6000 <br />MAILING ADDRESS: 750 (� + LA0 l0 j (2-OCITY: KO ZIP: <br />CONTRACTOR: PHONE:69 i -2-) -7273 -7/3-7 <br />CONTACT PERSON: ( MOBILE/PAGER: SJR <br />MAILING ADDRESS: kk-u - V CITY: C-A-GA40 ZIP: c�;;ks-Z_ <br />STATE LICENSE: # -- .2€J <br />ARCHITECT/ENGINEER:��5�jNE�Z� <br />MAILING ADDRESS: I 0 - %4 L�-P:E CITY: MPL5 ZIP: <br />NAME: E C, - LA, N REGISTRATION # <br />TYPE OF WORK: New Accessory Structure <br />Addition Move <br />Remodel/Alteration Land Alteration <br />,10� , <br />PROPOSED WORK (describe in detail): _ Z <br />-� <br />STORIES: SQ. FEET OF EACH FLOOR: <br />NO. OF BEDROOMS: GARAGE STALLS: ATT. '2 DET. <br />ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1000 <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 />