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Total Fee: $ -.5-o 9.75 Date Received: <br /> Entered By: Z, Permit#: 19C a0 ZC7 <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 /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ,rD T o w At<A R,0 f/A ZIP: 3 S <br /> NAME OF OWNER: wn��,vb�LM�N� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 75i) -r,9 tikA4(,4 ?0 CITY: Oaa vo ZIP: Jas sy <br /> CONTRACTOR: �J D���.�ry ��rSe PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: W i - ;?j/1- 6 JYr <br /> MAILING ADDRESS: 70zo wr9z,K&'A- J'/ CITY: ST.4oajs t,1 4.¢rt ZIP: 6"TjyZeo <br /> STATE LICENSE: # -�(7�40 <br /> ARCHITECT/ENGINEER: 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): AZAAi P- aA r4,/2- 44 1vy,:l — No <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3.5; Dw <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 acc dance with they approved plan. <br /> APPLICANT'S SIGNATURE: DATE: <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 />