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� ! Total Fee: $ Date Received: <br /> Entered By: ��� Permit#: /� �-7�,"7 <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 /> --------------------------------------------------------- ------------------------------------------------------ <br /> THE APPLICANT IS: (circle one OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: ��v?O L`�r�i�Lrr �a�� '�d�T�F' ZIP: s�3`� � <br /> `�r� �- <br /> NAME OF OWNER: C�d2cLy 62Tc�o��Q�� PHONE: (home) ��7/ -�'��� <br /> -� (work) �7/ _ C���7 <br /> MAII.ING ADDRESS: ���� ��� �a'�I�CITY: ��J�uy�-�_ ZIP: .S'�" �� <br /> _—�" <br /> CONTRACTOR: ��P�� PHONE: �f 7�-:�5� S� <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAII.ING 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�: �� - YO� �Gi'�7�r%'s � `/o�l-5e <br /> STORIES: Z SQ. FEET OF EACH FLOOR: ���� <br /> NO. OF BEDROOMS: 2-- GARAGE STALLS: ATT. DET. �' <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��G�Q <br /> I hereby apply for a building pemut 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 be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: (�%ll�"� ������lZGC��I DATE: /�' .._ � �� <br /> NOTE! Parade qf'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 />