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r �1 <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <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 /> --. <br /> THE APPLICANT IS: (circle o NE ' R CONTRACTOR <br /> JOB SITE ADDRESS: ( `� �-(�O ��-�<< u���"C. ZIP: S�"� I <br /> �� � � <br /> NAME OF OWNER: �bl,l,�.�. � Q,��� S PHONE: (home) ��13 l0 8 <br /> (work) �f0�-E GO� <br /> MAII.ING ADDRFSS: [°( �p ��(.t,cs�.e,1,�.� CITY: �?�c.�Z�.� ZIP: S�3 i ( <br /> CONTRr�CTOR: ��� L Ct.,,�CC�S� ���`' PHONE: <br /> CONTACT PERSON: �l � 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: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: �Q�l� � � 1i1��� V�.�n y�� <br /> 1� C.� ��� u rJKtOs U/L (_2.5`� _ <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ <br /> I hereby apply for a building pemut 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 pemut 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: ��- DATE: ��,a�� <br /> NOTE! Parade o,�Homes events require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />