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Total Fee: $ ��87, 7' Date Received: // (/03 <br /> Entered By: Permit#: /l0'.y /b <br /> /Q CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> by\ All information must be submitted in full before plan review will be started. <br /> 19' (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: 10 0 m2oN o 0ge,(A-D9 D ZIP: 55391 <br /> NAME OF OWNER: Pe-Trie G o s 414 47z/.9-71/ PHONE: (home) 95-.2-y7i:28.2 6 <br /> (work) 95.2- S/72- 7o 'o <br /> MAILING ADDRESS: /00 ©-"vo paw• CITY: ®. .-a ZIP: 5s39/ <br /> CONTRACTOR: o w Iv E 12. PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> CARCHITEC ENGINEER: 7o 4/ ,411 i rx PHONE: 9 3.2-4/0/-O 9/? <br /> MAILING ADDRESS: '/ /02s MT/cif /3E va CITY: •9474,8-7'voD ZIP: <br /> NAME: /9/Mpvs r o") A-rcuir&-crises- REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): c'olv vrrr T 'rn c To U sv Fu,t nrb S P/ts <br /> KA-15c- R F / lgtlll-12 NEN FAir e-twv- i RrPLA-tU Fifts'r7?IC Wiivioews '+' s►a��N6 <br /> STORIES:( t111I L t ►3t)Z SQ. FEET OF EACH FLOOR: 2 3 Op mil r4 a /2 a a 2 149. <br /> NO. OF BEDROOMS: b GARAGE STALLS: ATT. cZ DET. <br /> �^ <br /> ` .AJltL ►3s <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 50, 000 <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 accord. ce with the approved plan. <br /> APPLICANT'S SIGNATURE: '� DATE: /-3 -0 3 <br /> �v <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 />