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05/11/2006 08:33 FAX TWIN CITY ROOFING [J 001/001 <br /> fl'dtal Fee: $ _ '91.05' Date Received: 5-10- C6� <br /> o Entered By: Permit#: f4,09k5/ _ <br /> e CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> oon All information must be submitted in full before plan review will be started. <br /> -I (please print all information) <br /> --\d- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> a <br /> JOB SITE ADDRESS: <br /> 0�5 a___Lacih zIP: .,.5.5 -5 (la <br /> 1 NAME OF OWNER: 11�.(4,, PHONE: (home) 9.5a_ -L106 <br /> (work)cjp _ <br /> MAILING ADDRESS: cl <br /> Op u3;x , o CITY:Cr a r,n ZIP:-.5_5 <br /> Dr- <br /> CON'IRACTOt: ' w tiLE,_j____IIR.534,v,_ PHONE: 1-'5I- L131.- c((o go <br /> CONTACT PERSON:_j jt► — ,c .\ MOBILE/PAGER: -- <br /> MAILING ADDRESS:a3,4.S ,c.p - CITY:Rsaaj -Q,._..__Z P: CS 11 3 <br /> STATE LICENSE: #_2oaa <br /> '-tA <br /> ARCHITECT/ENGINEER: ..:___ _. PHONE: _ <br /> MAILING ADDRESS: _ ---� CITY: ZIP: <br /> NAME: — REGTSTRATION#,__ ______ <br /> 3 TYPE OF WORK: New Addition_ Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in derail): _ �� , c V . <br /> Lazi <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. ` . DET. _ <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3(0n0 00 <br /> I hereby apply for a building permit and I acleiowledge 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 T understani s . of a permit and work is not to start without a <br /> permit; and that the work will be '• :ccord. : e wi the approved plan. <br /> APPLICANT'S SIGNATURE: 1 , DATE: S' <br /> NOTE! Parade Lograrkpf 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 />