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f . . <br /> Total Fee: $ 1440-411? Date Received: <br /> Entered By: 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 OR CONTRACTOR <br /> JOB SITE ADDRESS: \ I 0 f-C".10 Cr 2 C 1'(1 a ZIP: <br /> NAME OF OWNER: V t Ct I,Lc W L (5 PHONE: (home){S2 / <br /> (work)of <br /> MAILING ADDRESS v sL CITY: (3TZ'1Ci ZIP: ( <br /> CONTRACTOR: Da V l G(, Lu Vr 2t 1154— PHONE: 2/ <br /> CONTACT PERSON: SG r vt Lt/1/1G(g u(��MOBILE/P GER: - <br /> MAILING ADDRESS: ( ) Z55 A-L^ - CITY: LOP7Re, ZIP:56W/ <br /> STATE LICENSE: # — j h — l c{ w <br /> ARCHITECT/ENGINEER: ,4 PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): /U�(„J RZ r <br /> STORIES: 1 SQ.FEET OF EACH FLOOR: 9 0 4 0 <br /> NO. OF BEDROOMS: 2 GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 4rj6 <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. <br /> APPLICANT'S SIGNATURE: 4/,, i,//,�,� . ' fATE: S-12 2-<-73 <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 />