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ice- ��c�1`s' <br /> , ' _�,t " <br /> q c� ,4q 7 G <br /> Total Fee: $ <br /> to Received: <br /> Entered By: / / / diff ;-rmit#: / -' 33 , <br /> I?- <br /> /5 .6 - <br /> . -CITY OF ORONO - ERMIT APPLICATION <br /> V` Pe--f <br /> All information must be submitted in full before plan review will be started. <br /> 1r (please print all information) <br /> /O <br /> IA:1THE APPLICANT IS: (circle one) OWNER O' CONTRACTOR <br /> O I cA C rt.(sy,-, ► _= <br /> JOB SITE ADDRESS: 5vv+1% t Cvitil evc vl= CA, ZIP: <br /> 641%141 Ry i auci 4- L, /. Cr <br /> NAME OF OWNER: 0 KG iv►Ci f ,,j et I I ,a,s o c,4 L,ch PHONE: (home) x3-919- -G <br /> (work) 6/..)- 3aSr- O 2 tat <br /> MAILING ADDRESS: so3q t. l7la o vi s 4.- CITY: y11t p/t jdkopi ZIP: 653 5c, <br /> CONTRACTOR: Do 3pki k ' 4.Sc,14,,Ilic . PHONE: 76,3-i-1 24. -G`1`/5 <br /> CONTACT PERSON: p o,0 in i II e it MOBILE/PAGER: Gr.d-a.))-.iv/5' <br /> MAILLNG ADDRESS: j,‘/5t) go-nee/I_ 4,K CITY: Lox eJalt, ZIP: SS 3 5-7 <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: Awcle►tsc -ze houn 4 SsGc. PHONE: .25,`74?-5Y'1- 1td-1 <br /> MAILINID D SS: 75---)c—�0I J n Or.Il4� l CITY: 1 fl /� . ZIP: ss�la� <br /> NAME: /-6v,,,e4c,y REGISTRATION# 3 s'13 <br /> TYPE OF WORK: New j< Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration X <br /> PROPOSED WORK(describe in detail): 6 iw,cXe cc,►c lie Lk) jz,s.e1Ae41I / t Ic) <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 19V) 63,00 <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 ac ord a with the approved plan. <br /> APPLICANT'S SIGNATURE: n DATE: 103 <br /> NOTE! Parade o f 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 />