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:. - <br /> Total Fee: $ Date Received: <br /> Entered By: Pernut#: <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 OR CONTRACTOR <br /> JOB SITE ADDRESS: �v�������jp�� �3 �j(� Sh�oQ6N��2IP: �.�� / r�- <br /> NAME OF OWNER: �,��0�! 0� t`��I�/�lv PHONE: (home) �7`%�� � 7�1 <br /> , (work) <br /> MAILING ADDRESS: �.�j�j �o C� 5 f'��c2�'��o,t� CITY: �/64�/�-2i2� ZIP: �Sr3 <br /> CONTRACTOR: � PHONE: L� 7/� 9 L� �� <br /> CONTACT PERSON: ,���o ��, MOBILE/PAGER: <br /> MAILING ADDRESS: .3�3Io r� 5 kfa�2c� �.iar� CITY: 11 it�-l/�>21�2� ZIP: �3 � <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New ��a� Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> c�C1 <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��00 <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 wiqth e approved plan. <br /> APPLICANT'S SIGNATURE: � 'L DATE: �—��� l I <br /> NOTE! Parade Qf 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 />