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Total Fee: $_ /C; Date Received: <br /> Entered By: Permit #: /�+U <br /> CITY OF ORONO — BUILDING PERNHT 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 OR CONTRACTOR <br /> JOB SITE ADDRESS: �}`� NGR"r1-I SV-io2.1F t)e�\I EZIP: <br /> NAME OF OWNER: 14,3 PHONE: (home) %5Z-W l-55.30 <br /> (work) !�/2 -34 4 - S87 7 ��Nv��E�• <br /> MAILING ADDRESS: /0 z° z NA R04o�✓y C l R. CITY: ---bFW W41;eiEZIP: 5-S3,17 <br /> CONTRACTOR: /Q- PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: ( Z 11'r+W l.Ake--c4HONE: 062--'1—?4— <br /> MAILING ADDRESS: 60to i Mep (;!ptyF_ 110 CITY:Bt�;:t1 PQPnVJir ZIP: 55 <br /> NAME: p 1��,.`, I�1G4} REGISTRATION# 1,50£4 <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail):J �y.( ;11VCc,', S+ �L'-t ZV1-)1• <br /> 15-71 1✓ttJ U— 1803 M4 <br /> STORIES: SQ.FEET OF EACH FLOOR: 2-'c:'4 UN F=N U-- 2189 U L <br /> NO. OF BEDROOMS: �—p GARAGE STALLS: ATT. 3 DET. 0 <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ $/oo, 000 <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 City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in acc rda e with the approved plan. <br /> APPLICANT'S SIGNATURE: L DATE: <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />