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, � l �2 o I` <br /> Total Fee: $ � �, �` (�` Date Received: ' <br /> Entered By: / r�� � Permit#: l�c� -3�{� <br /> ` �� � CITY O��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) OWNER O CONTRACTOR�� <br /> JOB SITE ADDRESS: L��������fi�r� �!� � ZIP: <br /> C�Z_�tjs_�7O ( <br /> NAME OF OWNER: �l� �J PHONE: (home)_ - <br /> �j� , (work)���--S�� - �f?�O <br /> MAILING ADDRESS: Z����_���L���l� CITY: �('��C� ZIP: <br /> � � � ��� <br /> �( ' � `� ��� <br /> CONTRACTOR: � � .f�C-�i C-�� �-Ul� U PHONE: i�"�73 <br /> CONTACT PERSON: � � MOBILE/PAGER: (o/Z-3 f���d��(o <br /> MAILING ADDRESS: . C� ,�' CITY:�tt-�Z,q-T>4- ZIP: �3 ZQ� <br /> STATE LICENSE: # S 4-�1� <br /> N� <br /> ARCHITECT/ENGINEER:�� �74� � P O� 4-7 y � ZO�Z— <br /> MAILING ADDRESS: , �'�✓ , CITY: -L�L� ZIP: 3 � <br /> NAME: �� (.., /� �{% c� REGISTRATION# <br /> TYPE OF WORK: NPw Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED WORK(describe in detai�: �����-{ �^ffi�-���� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��, t0 �� �� <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 Ciry and with <br /> the State Building Code; that I unde tand this is not a permit and work is not to start without a <br /> permit; and that the work will in corda w' h t e approved plan. <br /> , <br /> APPLICANT'S SIGN URE• DATE: % � � <br /> NOTE! Parade of Homes event r quire separate permit approval by Police Department and <br /> City Council 60 days prior to th ent. Non permitted events will not be allowed. <br /> 5 <br />