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<_-,. � <br /> Total Fee: $ Date Received: <br /> " Entered By: ,�'�� Pernut#: �p 9�� <br /> � <br /> CITY OF ORONO - BUILDING PERNIIT 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 R CONTRACTOR <br /> JOB SITE ADDRESS: 21 �� S�,a,,J��yd l�p ZIP: � S 3`1 / <br /> NAME OF OWNER: ,�,�;�� �,�e v �,`�� PHONE: (home) y`7 J-�( f�y a <br /> (work) y y 2--y�'7 Y <br /> MAILL�tG ADDRESS: 21 �S5 S�c�.(�..�.eod I�J CITY: 1'�n cJ ZIP: 5 5 3 y� <br /> CONTRACTOR: �" PHONE: <br /> COl�'TACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: � <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAII,ING 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 detai�: �,ff��ti.ti (U n !Z �••,ll�,'„�_v n <br /> r� �'�1- <br /> STORIES: — SQ. FEET OF EACH FLOOR: 1 20 <br /> NO. OF BEDROOMS: — GARAGE STALLS: ATT. �--DET. — <br /> ESTIMATED CONSTRUCTION VALUATION (e�ccluding land): $ ��jC�� <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 8uilding 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 v plan. <br /> APPLICANT'S SIGNAT DATE: I I-�-�� <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> Ciry Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />