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My-I O-20Q 1 10:50am From-CITY OF ORONO e � 35 <br /> +952149461E T-OTi P 001/002 F-OOB <br /> Total Fee: $ <br /> Enterer! By: Date Received:. <br /> Permit#: <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) <br /> OWNER $CONTRACTOR <br /> JOB SITE ADDRESS: U Vf1fA( � <br /> - ZIP: <br /> NAME OF OWNER: , <br /> r• PHONE: (home) (-CZt61 <br /> MAILING ADDRESS: (work) <br /> .ir Lim, c CITY: <br /> CONTRACTOR: C PHONE: -t—��� , X 1- - <br /> CONTACT PERSON• <br /> �1 _MOBILE/PAGER: <br /> MAILING ADDRESS: - CITY: Si'Y'YQVI tuJ LIF: 'J ZLf <br /> STATE LICENSE: #- ZL I�Zco�L <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: <br /> NAME: ZIP: <br /> REGISTRATION# • <br /> TYPE OF WORK: New Addition <br /> Move Accessory Structure <br /> K Land-Alteration <br /> ft 0 <br /> PROPOSED WORK(desc-ribe in-detail): t.pto, vv)ru(Ut; <br /> STORIES: SQ.FEET OP-EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGESTALLS: ATT: D?ET.. s=. . <br /> • <br /> ESTIMATED-CONSTRUCTION VALUATION(excluding land): -$ 5;0,1) <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that thework will be in conformance with the ordinances and r-odPs 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: A"d. DA7F8/5 6'cy <br /> NOTE! Parade e ffomel events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non-permitted eyenzt_will not-be allowed. <br />