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� � . �� <br /> • c-, . <br /> Total Fee: $ `�' � - Date Received: /`�(� �/ 7�c� <br /> Entered By: % /, Pernut#: / � -O� <br /> �����l % - ' ' ��'� <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 /> � - <br /> THE APPLICANT IS: (circle one) OWNER OR�ONTRACTOR� <br /> JOB SITE ADDRESS: �7�0 �. �j2o��.1 �9�tD ZIP: ���5 �,o <br /> NAME OF OWNER: v��r?lSrq,�,rt �ke%�5/�1�N�i►'tc� k�HONE: (home)��a- '`/1S�a��'y <br /> (work) <br /> MAILING ADDRESS: '77(� /lf, �2ow��l �, CITY: ZX��� ZIP:���S`� <br /> CONTRACTOR: C�N� �S�2r>�( g ��-•�� 1..,c, PHONE: q3 �-`/7U__ 1�`� <br /> CONTACT PERSON: �-�l E ��� MOBILE/PAGER:�/,�- SS9_�o� <br /> MAILING ADDRESS: �C�, �c,X7 5 CITY:�:r�ELS f��'� ZIP:,S'S3�/� <br /> STATE LICENSE: # f gD7 <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�: �'f�,�����-�-ta0��- - �JC-c.� ��lN��i�fi5, <br /> ���w'�--�rrPS �0!�ON�-C��"Z�Z�(Gr �)/r}S �..IN� � �/S�y F /IJL�_t.� /.✓PA��O�J,S <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �7�, Gl'�G. � <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 Ciry 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 SIGNATUREs�"��- ���� DATE: Aj/ D 3 d 2 <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non pernzitted events will not be allowed. <br /> 5 <br />