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Total Fee: $ 787„ / Date Received: DC7 <br /> Entered By: WA.. Permit#: A O 3 6763 <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 ORCONT TOR <br /> JOB SITE ADDRESS: 2I 4 5 Uj or+CR.TowN ZIP: 5r <br /> NAME OF OWNER: (L1•NVA CD R-P tL L- PHONE: (home) - <br /> (work) <br /> MAILING ADDRESS: �I qS WA-j Pa(yu/W ( CITY: LLW Lpb4Q . ZIP: <br /> CONTRACTOR: M Q W Q W)54 ,(,o PHONE: qsZ-9 S S- 3a6 d <br /> CONTACT PERSON: Rocee_ m wart c o MOBILE/PAGER: 84,7-oe(,o / <br /> MAILING ADDRESS: )S 3S• Gb• 2d . t a.7 CITY: p e La N o ZIP: Ss 3 42 <br /> STATE LICENSE: # (000 / <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: — CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration 41- Land Alteration <br /> PROPOSED WORK(describe in detail): peM o 0 G T" F - <br /> -}au add u o <br /> STORIES: SQ. FEET OF EACH FLOOR: 8((o <br /> NO. OF BEDROOMS: J3 GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1(0 11 000 . <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: 4r DATE: 052-30-00 <br /> NOTE! Parade off'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 />