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Totai'Fee: $ "�� ���, `�� Date Received: ?-- I 5 - L'� <br /> �Entered By: ��t,'��+2— Permit#: �v�5 Z�f <br /> : , <br /> ' ��,.-` ,. <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> �,:Z������ All information must be submitted in fu❑ before plan revie�v will be started. <br /> �� (please priiit all iiifor»iatioiz) <br /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle ofie) OWNER OI���CONfi�ACT(3R <br /> JOB SITE ADDRESS: ����;�1,�U ��i�C� C'►��� (`;rC,t� ZIP: .>33`7l <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special event permit is require�l with Police Department and Ciry <br /> Coicncil approval 60 days prior•to the event. Non permitte�l events will not <br /> be allowed. <br /> NAME OF OWNER: S���N���- �- 7j �'�1:��,c�� PHONE: (home)`75,2-��?y-��� <br /> (work) <br /> MAILING ADDRF,SS: ,�!'� !�)v}-in.�fzw }}�„� S CITY: S�C�v, S PAriz ZIP: �yj�, <br /> CONTRACTOR: r�a y.�� 13�-���iti.�C������rn}�,;,,- PI�ONE: ��S-�-<<�s= Zv�t7 <br /> CONTACT PERSON: Tdyr� y��,;�,.�,, MOBILE/PAGER: <br /> MAILING ADDRESS: 3 N3 s c�z c�, CITY: ���,� ZIP: sj3sL <br /> STATE LICENSE: # � �r K� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> RemodeUAlteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �'�1;,���� �.,c.;s�t,�.:u �,t'���,, ���f ,� �� �,�,� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $� �,T� �� <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: f��i � � DATE: 3���"�p� <br />