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MIR <br /> Total Fee: $ .i Date Received: /6/7 7/9 7 <br /> Entered By: Permit#: Q4 33 <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: SGc) Or-cm_d ecl ZIP: 53T3 <br /> NAME OF OWNER: S-h_vr/t A/e,�,5�� PHONE: (home) /7?,._?-/‘a� <br /> (work) 5f7t., -3 r <br /> MAILING ADDRESS: SR)v C)r-o,- c OraaCITY: Oro, ZIP: 53-29y <br /> CONTRACTOR: C,(c . PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration X Land Alteration <br /> PROPOSED WORK//(describe in detail): Z- L."^ �oc„-\S <<, c .--tc-/ <br /> es� <br /> 06 <br /> STORIES: / SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: Z GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ _cc) <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: DATE: /0 - /7 <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 />