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Total Fee: $ 7�3,B�d Date Received: �- 1 C� ' C� <br /> Entered By: �{ Pernut#: ADa/SS� <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 R CONTRACTOR <br /> JOB SITE ADDRESS: 3 Z ZS` � ���,a�� � ZIP: S S3 Sr� <br /> NAME OF OWNER: /1l�'� �.��p.�� PHONE: (home) y,�G-��'/-Z <br /> (work) � 7 8� 7 ? 3 �o <br /> MAILING ADDRESS: 3LZs G ����-t � CITY:Lm L�e,Ec- ZIP: s-`S"3S'� <br /> CONTRACTOR: p�r��Y 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: N�w Addition_� Accessory Structure <br /> Move Remodel/Alteration�_ Land Alteration <br /> PROPOSED WORK(describe in detai�: �,v/� ,�/,,,�� ,5�,c,,►�r4,,,.�- v,v�,• 1.'�„a,.,,,�,� <br /> �. r -� ' f� � ' ,sr'�S. <br /> STORIES: �_ SQ. FEET OF EACH FLOOR: ��� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ,3 O� �o O <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 permit 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:��r�C� � DATE: � �O D� <br /> NOTE! Parade o�'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 />