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CITY OF ORONO 6124730510 09/24/96 14:00 [!P :02/03 NO:522 <br /> }} <br /> Total Fee: $ 1 C� Date Received: /0-78 <br /> Entered By: Permit ti: ( _/ cu <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 ORONT CTOR <br /> JOB SITE ADDRESS: ZIP: J5-6,9� <br /> NAME OF OWNER: M) 51a PHONE: (home) `12 4 <br /> (work) a31�Pf X13 <br /> MAILING ADDRESS: 9hhC CITY: 09-0 ZIP: <br /> CONTRACTOR: �rcw N° - VA —PHONE: 5p2.' Wrl-7. <br /> CONTACTPERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: "13'2° Pf\)C-- . CITY: Ftp.\D l9N ZIP: Z <br /> STATE LICENSE: #-2-004Cq <br /> ARCHITECT/ENGINEER:.t-� 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): (Z�EP�-R C <br /> ...1�M6 ...S� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <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 rdance with the approved plan. <br /> APPLICANT'S SIGNA ADATE: a L� , <br /> NOTE! Eargde of&Mes, events req Vire separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> Received Time Sep, 24, 1 :42PM Print Time Sep, 24. 1 :43PM <br />