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, <br /> _ .. <br /> �l�C�i1/ED <br /> iv�,��d 2 5 �004 <br /> � �� .��� , .��=� <br /> Total Fee: $ �/ Date Received: 3 -ZS-O � CITY OF ORpNO <br /> Entered By: � �� � � Permit #: f}p 7 3,3 f <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (p/ease print a//informafion) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (cirde one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ��p ol� �� cj�i�" ZIP: �JJ3� I <br /> � <br /> NAME OF OWNER: �rG�� � 9�-�p�I�� , �rcl�� PHONE: (home)�5� - ��(„—�j3 -�j <br /> (work) <br /> MAILING ADDRESS: �v� �"U`� `-..��e-�� CITY: C�or,p ZIP: S�� <br /> CONTRACTOR: ��Z1� �J U����h� C-�`r P PHONE: `�� `�'1;� �� <br /> CONTACT PERSON: i orn Nev�U rv� ` MOBILE/PAGER: �I Z- �3 - ��5� <br /> MAILING ADDRESS: �,�-�-3� C`�. �. IG1 CITY: Y111'��. ZIP: __`��`�'S <br /> STATE LICENSE: # f;�j�3Q� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRAT[ON # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> -------- <br /> Move Remodel/Alteration � Land Alteration <br /> PROPOSED WORK (descrrbe in defai�: MGIS-�i/ 5�.,1�� �- � 1�� f�1'�1C�QX <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��, OOO • �� <br /> 1 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 the <br /> State Building Code; that I understand this is not a permit and work is not to start without a permit; <br /> and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ' ' � � DATE: � D <br /> NOTE.� Pa�ade of Homes e vents require sepa�ate permit appro va/by Po/ice Department and City <br /> Courrci160 days prior to the e vent. Non permitted e vents wiU not be allo wed. <br />