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Total Fee: $ /8i .73 Date Received: 6-31-CO <br /> Entered By: . Permit#: 29•06- <br /> CITY <br /> 6CITY 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 /> /040 <br /> JOB SITE ADDRESS: /go O/7QNO 1010-1--A-72-d : 5-5-3q <br /> l <br /> NAME OF OWNER: DO S E P+4 i?to KIcE- PHONE: (home) 47 3 277/ <br /> (work) '9 '}3 ,5-2_44it <br /> MAILING ADDRESS: /190 OfOW0 0/amigo/2d CITY: AM/2 - ZIP: 5739 / <br /> • <br /> • CONTRACTOR: 4 W N C- PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: 0 W 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): A-DO 1 -i z 7V EA-5'T s,' <br /> f-�cl sF <br /> STORIES: 2- SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. Z_. DET. (' <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 200°- <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 wi e approved plan. <br /> APPLICANT'S SIGNATURE , Gt.�- ( , DATE: g /7„.ext) <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 />