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Total Fee: $ / 3 y�. 5 <br /> Date Received: 1_)S -C <br /> Entered By: iej , Permit#: AO6,;.o <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 ORcONTRACTOR <br /> JOB SITE ADDRESS: I I�O OLP (1L [i A Cggy ZIP: SS I <br /> CoAd SD <br /> NAME OF OWNER:a dCo S'� to�-'tv 4 .L PHONE: (home)47<438161 <br /> (work) <br /> MAILING ADDRESS'.CS�M$ ) CITY: ZIP: <br /> t <br /> CONTRACTOR: _3,t,-• _ 1 F ii, 1... .A... . PHONE: 414" Z.37 tp <br /> CONTACT PERSON: - - MOBILE/PAGER: ' '2 — >co <br /> MAILING ADDRESS:VAX) 01.0,6046 L . CITY: ZIP: 55IS I <br /> STATE LICENSE: # i <br /> ARCHITECT/ENGINEER: figi".. 64/44. PHONE: g u,• Z 4 <br /> MAILING ADDRESS: 51.11 Ave , CITY: ZIP: soot <br /> NAME: 'T' p�L CV•IICJ REGISTRAT ON# I'. _ <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): A(8,4 VIA..., ikC. tizilk,C, <br /> 'pLAy.).s. <br /> STORIES: SQ. FEET OF EACH FLOOR: 11SO 1. 1 I�%' <br /> NO. OF BEDROOMS: I GARAGE STALLS: ATT. — DET'-- <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1 LS 1000 <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 approved plan. t3sAPPLICANT'S SIGNATURE: ' DATE: \ oo <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 /> 5 <br />