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,jRONO 6122494616 11/01/99 16:05 5 :07/10 NO:58L, <br /> i <br /> Total Fee: $ Date Received: <br /> Entered By: _ Permit#: 1 2nct Q <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: ����� C� ����� 4�Xk) Al ZIP: <br /> NAME OF OWNER: J be p b i e gfVc PP16 PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: _` TPi.y(rQ t Kop�e L,,,a,V PHONE: y�2 3 s <br /> CONTACT PERSON: MOBILE/PAGER. _ <br /> MAILING ADDRESS: 113 yo CITY: G��y z u+�� ZIP: -5-5 3Y/ <br /> STATE LICENSE: # 3-7,Q- <br /> ARCHTTECT/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 /> PROPOSER WORK(describe in detail): <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 accord ce with the approved plan. <br /> APPLICANT'S SIGNATURE: L/7 �' DATE: <br /> NOTEI Parade Qqf Harnes 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 />