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Total Fee: $ 93- 9 Date Received: Ylw ?A7 <br /> Entered By: Permit#: AS y <br /> CITY OF ORONO - BUILDING PERART 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: F-ZL Pq So ('Ra�1 ZIP: 45� <br /> 0/,-- <br /> NAME OF OWNER: 9 6:R T AIAI HONE: (home) �/.I— <br /> (work) 6/Z - 5-m.5-- Z/0 o <br /> MAILING ADDRESS: �`�S'�/I/iG G.o PT CITY: A1,4y zA TA- ZIP: s�:3 22 <br /> CONTRACTOR: �� S� C�f�R f�-G PHONE: 0 3 3 <br /> CONTACT PERSON: L oCL p c 'r;p MOBILE/PAGER: <br /> MAILING ADDRESS: C oM e) c/6'-- CITY: ZIP: SS" <br /> STATE LICENSE: # <br /> ARCHITECT/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 /> PROPOSED WORK(describe in detail): 12ET,q Cf/eD ('9MA6.r- <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 acc rdance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: A, <br /> NOTE! Parade Q f 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 />