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Total Fee: $ 6 , /V Date Received: <br />Entered By: -(%u' Permit #: A, <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 OIZ ONTRACTOR f <br />JOB SITE ADDRESS: l /0 / f 1-1 ; /1(/G k',d d 141,01J ZIP: <br />NAME OF OWNER: <br />MAHMG ADDRESS: <br />CITY: <br />PHONE: (home) <br />(work) <br />ZIP: <br />CONTRACTOR: Ll,( ,j •' ?.: PHONE: z�7 <br />CONTACT PERSON: MOBILE(PAW: 1- -7 <br />MAILING ADDRESS: " ' t " CITY: . ZIP: <br />STATE LICENSE: P <br />ARCHITECT/ENGINEER: <br />MAILING ADDRESS: <br />PHONE: <br />CITY: <br />NAME: - REGISTRATION N <br />ZIP.. <br />TYPE OF WORK: New —j-- Addition Accessory Structure <br />Move Remodel/Alteration Land Alteration <br />PROPOSED WORK (describe in detail): LJ C-�L, 1 Dc-AI` L, Gd/I y-14C aw./ <br />STORIES: SQ. FEET OF EACH FLOOR: llqu <br />NO. OF BEDROOMS:. GARAGE STALLS: ATT. DET. <br />ES`I MATED 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 with the approved plan. <br />in <br />APPLICANT'S SIGNATURE: rdance DATE: c j - 3L'l %: <br />NOTEI Agra& itf Mann events rWrin sepwor prt appr"W by ft&e DeparftwW card <br />City Corwg"dgs prior to Ae event. Nox-perasitiA d evemb will cot be allowed. <br />9 <br />