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t Total Fee: $ " �� � �� �{� Date Received: ` � <br /> Entered By: Pernut#: `���� <br /> CITY OF ORONO - BUILDING PERMIT 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 /> � <br /> JOB SITE ADDRESS �� f•` % - � ZIP: - ' � � � <br /> , <br /> � /, - <br /> NAME OF OWNER: �e �,L /�,C�s�, �� �..� , PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> ,� <br /> CONTRACTOR: �� �"-�� l�-v�t�<< PHONE: l�� -���/� <br /> CONTACT PERSON: i�:(� ��q��n �. �.�,�-,�/l`+�IOBILE/PAGER: __ �r`3 y -��/y'� <br /> MAILING ADDRESS: f `�l ��p � ,<S��`{-� c,�- CITY: ;=`•�'y�J�i�,�.� ZIP: .�� � � <br /> STATE LICENSE: # 3�y 3 <br /> ARCHITECT/ENGINEER: �.,�-Z�w•,•� �.t�,.,,.� PHONE: f <br /> _��� <br /> MAILING ADDRESS: ;�C�/,n i�f�,n�t - CITY: ZIP: <br /> NAME: J�- �'�,f�" REGISTRATION# <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �t`Nc%% �,�,�. ��S f� ��� �%E Ei �n'' sh <br /> STORIES: ^l SQ. FEET OF EACH FLOOR• �34> G> j rs�{ f�-11�f�� ����1�% _�•-�'L�`'�'� <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. �d� DET. <br /> �/ EL <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ " 7`���,�'�'�� <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 ac�ordance with the approved plan. <br /> � � <br /> APPLICANT'S SIGNATURE: �-ll >' �-t.wv-c-���--��� DATE: � — ��� -� 9 7 <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 /> 9 <br />