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Oct 11 02 11 : 13a Right-Way Roofing 763 551 1527 p. 1 <br /> r <br /> b <br /> Total Fee: $ a Date Received: A) Z- <br /> Entered By: Permit#: 0!5 7� <br /> �o <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> `w All information must be submitted in full before plan review will be started. <br /> d-� (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER ORJONTRABk <br /> JOB SITE ADDRESS: 1�^nY.�,..�� as k ruyan:r ZIP: <br /> NAME OF OWNER:.. M PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: ''1t'a."" as jz„)a Q CITY: MaZt9ka,A ZIP: <br /> CONTRACTOR: PHONE: n�� �7_ _ <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: ig p,S A j V , CITY: Dk,A%ana M ZIP:;i``vn_ <br /> STATE LICENSE: # 55n <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration�G _ Land Alteration <br /> PROPOSED WORK(describe in detail): qLZ�1- 1Ao ta L-4 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE.STALLS: ATT. DET.„X— <br /> ESTIMATED 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 accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: J . 4 ,�Xdx— DATA: <br /> NOTE! P m�,f.Homes events require separate permit approval by Police Department and <br /> viv r'nunril So days prior to the event. Non permitted events will not be allowed. <br />