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111111 <br /> Total Fee: $ Date Received: <br /> Entered By: fig, . Permit#: <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 ORONTRACTOR <br /> JOB SITE ADDRESS: /3 75— O(O is ('> ZIP: 53-39/ <br /> NAME OF OWNER: Q,'41e�c Atli- PHONE: (home) 1-i7,- POG Z <br /> (work) <br /> MAILING ADDRESS: /39' Dsc o Lr CITY: 1JRx24, 4 ZIP: }— <br /> CONTRACTOR: C�e ,'�r� /� S PHONE: '/7)- 857)— <br /> CONTACT PERSON: 77' /urZ MOBILE A ER: <br /> MAILING ADDRESS: S'W S /.•r ?/�( Qc CITY: .,/ck,,t ZIP: 573 6 <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: 1 L k./ o e PHONE: 93?-0? 75" <br /> MAILING ADDRESS: CITY: £ ,-0.1A- ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition ;I< Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail)ff: ,� ,,, CI i, 4 - <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. L.. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ SQA Ooo. <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 ith e approved plan. <br /> APPLICANT'S SIGNATURE: DATE: 5'-3o-- 97 <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 /> 9 <br />