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Toal Fee: $ ' 66, . 3 Date Received: A 7 5 <br /> Entered By: in Permit#: / f /(2) <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 OR(ONTRACTOR) <br /> JOB SITE ADDRESS: ,200.0 ` t;sa— c LLS R. _ ZIP: -5g9/ <br /> NAME OF OWNER: Ms-4-1Yl,- • Lem, Q'An Fa 12.4 PHONE: (home)c(5Z- 476 - L 02 <br /> (work)9SL-q33 <br /> MAILING ADDRESS: (*S p m£ As -AGc vt) CITY: ZIP: .-- <br /> CONTRACTOR: Po.z►CL,rr t N 33i.� PHONE: Cj s Z-126--`-14 6 Z <br /> CONTACT PERSON: B c icj $Q.err-L 1.,v MOBILE/PAGER: — <br /> MAILING ADDRESS: Z&.oS l-'t'N N 4 v S c • CITY: ST. Laws Px,►r, .►ZIP: _675-4z/ <br /> STATE LICENSE: # Ei e y 89 i <br /> ARCHITECT/ENGINEER: r.i n PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration j< Land Alteration <br /> (� r <br /> PROPOSED WORK(describe in detail): te,'T'rawl e130141.f(9004 o A_ Ia c€ E D I.t)eC <br /> STORIES: Z SQ.FEET OF EACH FLOOR: N/ <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ '}• 17 0 .6° <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 accor= • r,.e'w'. the approved plan. <br /> APPLICANT'S SIGNATURE- DATE:DATE: /" !v - U 3 <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 />