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Tcbal Fee: $ _ �j. / 5 Date Received: �..3��S�ii <br /> En�red By: �'� Permit#: �/ .,2 �c> <br /> CITY OF ORONO - BUII,DING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> -------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICAI�'T IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: I�S� �it�oc� � ZIP: ' <br /> NAl�TE OF O`�IV'ER: �I�� �r��-�- PHONE: (home)�7/-'/6�7� <br /> (work) <br /> MAILI'��G A.DDRESS: CITY: ZIP: <br /> CONT'RACTOR: PHONE: <br /> CONT'ACT PERSO�': MOBILE/PAGER: <br /> MAII.ING ADDRESS: CI'1'Y: Z�: <br /> STATE LICENSE: # <br /> ARCHIT'ECT/ENGI�1i EER: PHONE: <br /> MAII..ING ADDRESS: CITY: ZIP: <br /> rJ�,�; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> � ; <br /> PROPOSED WORK(describe in detain: cj�rl �v � �C� _ <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROO�ZS: GARAGE STALLS: ATT. DET. <br /> v <br /> ESTI�i IATED CONSTRUCTION VALUATION (excluding land): $ 5�0 , � _ <br /> I hereby apply for a buildina 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 pernut and work is not to start without a <br /> pernut; and that the work will be in accordance w'th th approved plan. <br /> APPLICANT'S SIGNATURE: ' DATE: 5�S'" I� <br /> NOTE! Parade 4f 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 />