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Total Fee: $ � Date Received: U// <br /> Y g <br /> Entered B : �I�vPermit#: - 40,5 <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 O)1Q0NTRACTOR <br /> JOB SITE ADDRESS: �'1 N®r f l r-r Wil P J t ZIP: <br /> NAME OF OWNER: <br /> PHONE: (home) 9ja <br /> (work) <br /> MAILING ADDRESS: CITY: o r►®flo ZIP:�-n <br /> CONTRACTOR: ea-016 J��6 c 10-RA M PHONE: teS'/"C031-f 1 OD <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: 21 l k6-44 y�/.P.y. CITY:�eZIP:_si <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 Y.- Land Alteration <br /> PROPOSED WORK(describe in detail): C- ' r1),A- &t yf A0 A Le, - <br /> +71 <br /> 12- Olt lAU IV <br /> STORIES: ' SQ. FEET OF EACH FLOOR: 3s, <br /> NO. OF BEDROOMS: - mww� GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 119 <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 accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: A6L,,----DATE: 7 -3` -09 <br /> NOTE! Parade of Homes eventkreffire'segarate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> s <br />