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krigg°40 <br /> ,Total Fee: $ - ,cDate Received: Al&/96, <br /> Entered By: <br /> C)).- <br /> ) Permit#: g� 3 <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 O CONTRACTOR <br /> JOB SITE ADDRESS: 2S0 OLD egY(57 L 60\/ : 55-3 q <br /> �LOPEN7 a `e <br /> NAME OF OWNER: ()0 D lU PHONE: ( ) 773 "e).S3t' <br /> ( ) lab P5,ye,, 9e9/73 <br /> MAILING ADDRESS: /a lo?,f' Cli/)Y ZHT,j CITY: ZORYZIM ZIP: <br /> CONTRACTOR:fi/taW0 ��U/° PHONE: y73_a 68 6 <br /> CONTACT PERSON: /5013 �1eL.fiNg'n MOBILE/PAGER: WY —/73 3 <br /> MAILING ADDRESS: /2iQ YZ/!719 CITY:V/9Yz/9 T/} ZIP: „53 <br /> STATE LICENSE: # 7 2 <br /> ARCHITECT/ENGINEER:IliggY / Z-L/'I E ie •-• PHONE: 9Q5 9'827/ <br /> MAILINq ADDRESS: 5//0/ 3ft/ O e v CITY: /y/9L ZIP: 6:5-1//0 <br /> NAME: kivey ko LL IIEYFk REGISTRATION# <br /> TYPE OF WORK: New !/ Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): <br /> STORIES: / SQ.FEET OF EACH FLOOR: gra M//N /300 LL 6vist O <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3(c O, 0 0O <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 a • dance with th- a.proved plan. <br /> APPLICANT'S SIGNATURE: ' / rdt.i �. �' "DATE: / 7-7/0/9 . <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 />