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t. � . .. � ,•��. <br /> . <br /> Total Fee: $ '''?� Date Received: ,�-;,� � - (}_5 <br /> Entered By: � � ��i12 Pernut #: I� c� (��C;'.S�% <br /> i �r.' � �� �,� <br /> ; , <br /> CITY �O� 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) WNE ;OR CONTRACTOR <br /> JOB SITE ADDRESS: �� �A� ��� v ZIp: .��� _� <br /> NAME OF OWNER: �"G�p� ��r'��j'' PHONE: (home)���'��c�— ��l� <br /> (work) 6 — <br /> MAILING ADDRESS: �oZ,� ,S��-�/o� CITY: ZIP:�r� <br /> CONTRACTOR: 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(describe in detai�: G k � 4,. <br /> !�K �2 ` v G!/ o ,Qy, <br /> G.e�e� ,B � � <br /> STORIES: SQ.FEET OF EACH FLOOR: F.Sb � �c+�wal�PtG� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��, O od <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 with the approved plan. <br /> APPLICANT'S SIGNATURE: � �.u,c-GL_ DATE: � —�g �-D 3 <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparhnent and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />