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Total Fee: $ Date Received: �-.�:�_ f 1 <br /> Entered By: Pernut#: <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 /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: �,��I� ��C(�.,�it/ �(�� /���� ZIP: , 7��.J C1 I <br /> �-- J� /,,� <br /> NAME OF OWNER `��,C�(J� // /��/� �^� : PHONE: (home) ���� ���J� <br /> , (work) t�� � � � �� � _ <br /> MAILING ADDRESS: �," � � � ��C� CITY: �'. �/�%; `,, ZIP:_���� � <br /> ,�� <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: NPw Addition Accessory Structure <br /> Move Remodel/Alteration �� Land Alteration <br /> � 1�' <br /> PROPOSED WORK(describe in de�ai�: �C��('_ �/T�� � l��l�'7 %�,:��� , �%�'�, <br /> � - ��'C � S S � /'�' �f- <br /> STORIES: �� SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. <br /> Q_ � <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ S� C�C � � <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 with the a�proved plan. <br /> /' > <br /> APPLICANT'S SIGNATURE: % �� � � DATE: �� �' � � ��` <br /> � <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 />