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Total Fee: $ �/. q Date Received: <br /> Entered By: Permit#: 3 S--, <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 one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 11ZO AIN2114110 QC J)Q1(/G_ W ZIP: ,55361-1 <br /> NAMEOF OWNER: UJ 6 i,T C(L 1.101`LC-(L PHONE: (home) tj 72=1-1 Lt 6 6— <br /> (work)g M e- <br /> MAILING ADDRESS: 1130 IOUg5h®P_67 CITY: oa1j. ZIP: 6,153641 <br /> CONTRACTOR: Uj k1rc_,(L A®1 Z l (L, PHONE: L172- Lj <br /> CONTACT PERSON: L&)R L,Dff 2_ MOBILE/PAGER: (4 to <br /> MAILING ADDRESS: Do, P-x7)x 2c, CITY: nau A NILF- ZIP: . <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure X <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): 3Q X-33 <br /> STORIES: �_ SQ.FEET OF EACH FLOOR: I ff 11 r8,,5r4 %j W& 6% <br /> NO. OF BEDROOMS: 0 GARAGE STALLS: ATT. DE�� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ,Z,500, <br /> � <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 accordance with the pproved plan. <br /> APPLICANT'S SIGNATURE: DATE: <br /> NOTE! Parade gf 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 /> 5 <br />