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Total Fee: $�j �� � �� Date Received: �' ���-�'% <br /> Entered By: � Permit#: %!C- <// `=t,� <br /> , <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 /> ------------------------------------------------------------------------- ------a--��---------------------- <br /> �. <br /> THE APPLICANT IS: (circle one) OWNER O CONTRAC R <br /> �. ,/ , � _`_'�-1 �� �1 �� � <br /> JOB SITE ADDRESS: �i� �� �--t3��rt���1��� ZIP: <br /> .l' � <br /> p � , � � y�`�'��"�'�" ��,,,�,U � <br /> NAME OF OWNER: ���Cl�j�� ��J� lV��� �J�r1� ��N"PHONE: (home)� J �l �`'•��l.f <br /> 1 (work) <br /> MAII.ING ADDRESS: ',��{��(,�V I``-� �� CITY:�l ��i��ZIP: '�� , - <br /> CONTRACTOR: �� ,4}.���<,��'�.i'-��'"�`�U PHONE: "'I`��"'!�'��5� <br /> CONTACT PERSO : •I � 1VIOBILE/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 /> ,1 � � : 'C�' <br /> PROPOSED WORK(describe in detai�: �� �r'�' �����K��'� ��(�r���%f�'� <br /> t <br /> STORIES: _� SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET..� <br /> a~�' <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ / � �'J �) ��L <br /> I hereby apply for a building pernut 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 pernut and work is not to start without a <br /> permit; and that the work will ' acc rd n with e appr ved an. <br /> APPLICANT'S SIGNA � DATE: � � C.� � <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparlment and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />