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YUL-18-2901 12:10PM FROM-LES JONES ROOFING 952-881-7009 T-779 P.001/001 F-007 <br /> J41-I11"CUUI 11:404M rluur'.iII yr 4•11V T... --- • -•- <br /> j_ <br /> Total Fee: $ ��a� Date Received: / eJ <br /> Entered By: M Permit#: <br /> 0(114 Di 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 /> TIE APPLICANT IS: (circle one) OWNER O ONTRACTOR <br /> JOB SITE ADDRESS: 9 o0 0l 1,0-Ks c.ZIP: 5S3 °i <br /> NAME OF OWNER:Th( ( - PHONE: (home) 615,5 - 7 (4,- <br /> (work) -(work) <br /> MAI:MG ADDRESS: Cry 5 014,2 CITY: (0(en,,,, ZIP: 5 5.3 q I <br /> CONTRACTOR: 'Le S - PRONE: 5 a- g - 1 <br /> CONTACT PERSON: G- e I BILE/PAGER: - 5 (03_ <br /> MAILING ADDRESS; CrrY ()Qat)!Jt61- : <br /> STATE LICENSE: # 2co <br /> ARCIDTECT/ENGINEER: � �.GZ PHONE: <br /> IVTAI LIN1'G ADDRESS: CITY: ZIP:— <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration T <br /> PROPOSED WORK(describe in ' • • - o o-e — o-�a� . _8-`4 rsfi <br /> r 60 - ir2.: ^r ,c.� Q r cc.c '4- —X e A - , <br /> .may. •..tor' • <br /> STORIES: b SQ.FEET OF EACHFLOOR: <br /> NO. OF BEDROOMS:• GARAGE STALLS: ATT: - DET. , • • . •z. . <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): S (7 L4 ,Q ) <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 star: without a <br /> permit; and that the work will be in accordanc "th the approved plan. <br /> APPLICANT'S SIGNATURE. r - / - DATE: -- ( g -0 <br /> NOTE! �'ara 'e_ F1'Qmes 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 />