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OCT-18-200:' 08:48AM FROM-LES JONES ROOFING 952-881-7009 T-448 P.00Z/005 F-561 <br /> - Total Fee: $ `fa�. Date Received: to <br /> Entered By: Iii Permit#: ;-o ff o 5(0 <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 /> TEE APPLICANT IS: (circle one) OWNER OR NTRACTOI2 <br /> JOB SITE ADDRESS: 3 bo (/'6-77-0 c-</hr,"c? h c, :GIP: <br /> NAME OF OWNER: PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: . CITY: <br /> CONTRACTOR: • Le 5 s 121oC>C,-, PHONE: •�.a r� _ g g( f <br /> CONTACT 1- _rs- � ti BILE/P GER: <br /> MAILING ADDRESS: ' ( ►`� S CITY: lk on(r6 _ <br /> STATE LICENSE: # v;5-(n <br /> ARC.T TECT/ENGPI� EER: PRONE: <br /> MAILLVG ADDRESS: CITY: _ 2IP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition - Accessory Structure _ <br /> Move • Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): Gc2-7,)f---( cam- Ce .0 <br /> STORIES: SQ. FEET OFEACIIFLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. • DET. -K . . , • <br /> ESTI: IATED CONSTRUCTION VALUATION (excluding land): $ (� / <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 acco an wi .i e approved plan. <br /> APPLICAN-T'S SIGNATURE: <br /> NOTE! Paradeif Homes events require separate permit approval by Police Deptrtrnent and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />