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� � <br /> Total Fee: $ Date Received: <br /> Entered By: Pemut#: <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 inforncation) <br /> THE APPLICANT IS: (circle one) OR CONTRACTOR <br /> JOB SITE ADDRESS: � �7 7 S�� � � 1 � e �� ZIP• <br /> .� r,,. s � (��, �� 9S a �- 3 � � <br /> NAME OF OWNE�. l� b � �1 , rxorrE: �nom�> ) 7 S <br /> MAILING ADDRESS: S' S� (yvor ) S c,. � � <br /> � ��' L�:J c �' � zIP•S S� g � <br /> CONTRACTOR: �S �- 1� 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: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(des ribe in detain: _�1 1 1 � p �f' S �ti�S q r�.� r � r`�V�� e <br /> n � <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 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 acc ance with the approved plan. <br /> APPLICANT'S SIGNA . DATE: 1 � �� d <br /> NOTE! Parade Q f Homes events require s e permit approval by Police Depar[ment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />