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. � <br /> . � ' Total Fee: $ ��,`��( ' L;� Date Received: �-=(- 1�-� �� <br /> Entered By: Pernut#: Q ,5���� <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 /> JOB SITE ADDRESS: ��� ..�ri ,5.��,� G ����/Q ZIP: <br /> NANIE OF OWNER:��e3���' �•✓'�� ��`'_�/,tS PHONE: (home) <br /> 5�0 S ( ) <br /> MAILING ADDRESS �.5�-� C�^ CITY: W�c �, , ZIP:_�T��� <br /> CONTRACTOR: �.PZJ v ,��T t`/oP� tti c �'� PHONE: ^��, "� ��''l'/� 7T <br /> CONTACT PERSON: .,d7"a� ,����T-7 MOBILE/PAGER: � /a- $��j-� $�$ <br /> MAILINGADDRESS: �7�� ��,�/ ��'.,� CITY: 111�,�- ZIP: ��Z <br /> STATE LICENSE: # <br /> ARC�-IITECT/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 /> ��� <br /> PROPOSED WORK(describe in detai�: ff�,�T�r ���r..� ,�j,��, ��„� � <br /> {--. �, <br /> STORIES: _� SQ. FEET OF EACH FLOOR: {� ��� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ "]3,bac�"�-- <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 a dance with the approved plan. <br /> , <br /> APPLICANT'S SIGNAT ' �'""� DATE: �'"' J� D,Z <br /> �—, <br /> ;� <br /> NOTE! Parade o H m e � equire separate permit approval by Police Department and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />