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Total Fee: $ rJ q5. 39 <br /> Date Received: q d�-- <br /> Entered By: Permit#: A o i ? S' <br /> CITY OF ORONO - BUILDING PERNUT 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 O CONTRACTOR <br /> JOB SITE ADDRESS: ti.I t L.L.aL _ ZIP: 3 l <br /> NAMEOF OWNER: �n `+�llt_ <br /> AAA0,1L Sto rn PHONE: (home) 4^ - <br /> ` 1 (work) <br /> MAILING ADDRESS: Y�l V L-0L,.1Com: , _ZIP: <br /> CONTRACTOR: l PHONE: <br /> CONTACT PERSON: MO ILE/PAGER: p1903 <br /> MAILING ADDRESS: CITY: I-1+k. ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition__)C- Accessory Structure <br /> Move Remodel/Alteration _ Land Alteration <br /> PROPOSED WORK(describe in detail): o car <br /> l �l c <br /> STORIES: L SQ.FEET OF EACH FLOOR: Iq 0 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � 6mp <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 cordance widt, the approved plan. <br /> APPLICANT'S SIGNATURE: . DATE: "Z' G 1 <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 /> 5 <br />