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. . <br /> ,�.� " <br /> Total Fee: $ ��v� Date Received: -a��� o�- <br /> . Entered By: Pernut#: ,-;�y j��,� <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: 1 c y5 �� �CI L(,l��C� .S ZIP: ,S��.j�' � <br /> ,; �i <br /> NAME OF OWNER: .S�e��� 1�q��t v�; r � PHONE: (home) 7'S� Y7S.33 z � �L y, <br /> (work) 7�� SS 9 - :�.z��' L�'�� <br /> MAILING ADDRESS: jQ�s"� �,�d��t✓/� ��c,� CITY: ZIP:/� ;' � «� 3 .:; <br /> CONTRACTOR: S� � � PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> r� <br /> ARCHITECT/ENGINEER S`�� F PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: N�w Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration�_ <br /> PROPOSED WORK(describe in detai�: I � c �' e r �ro W. �� � _ ,� <br /> � .r <br /> �4�� L � `�� ��- � �,. t� - e�, ��.. � �� L �`� ����'`-' � <br /> ��, <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <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 /> � <br /> APPLICANT'S SIGNATURE•-;:� .�— ���.._ DATE: �.3 .lo C�:L <br /> ��: <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non perinitted events will not be allowed. <br /> 5 <br />