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� <br /> , , � ��� <br /> Tota1'Fee: $ �� Date Received: � �v� �� <br /> Entered By: Pernut#: 3 <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 O CONTRACTO <br /> JOB SITE ADDRESS: � 7 7�'G� �Cl�'d// G► F l�(/�P _ ZIP: S-� ��� <br /> l-��� � � , �,(�G��` /�. <br /> NAME OF OWNER: .� i� S�C>��/CC�SSI PHONE: (home) ��( ��5 � <br /> (work) <br /> MAILING ADDRESS: � 7�a Cv�r�rv��"���,����: � �-�� u- �� z�: � / <br /> CONTRACTOR: ��S� d? C°'` ��G(�f �2� PHONE: � � ` � :��� <br /> CONTACT PERSON: �, � � � �IOBILE/PAGER S'C�5 —l���— <br /> �,nvG a�nxEss: 2��,� �-���r, el�_ciTY: � E �z � z�: 5 S�3 �� <br /> STATE LICENSE: # �D� �'ZG�/ <br /> ARCHITECT/ENGINEER: ���l�r E. PHONE: <br /> MAII.ING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addit' n Accessory Structure <br /> Move emode�/Alteration Land Alteration <br /> PROPOSED WORK(describ in detain �'( E�h�O t:1 � �l� �G�( �'` ,.��S��`� <br /> � � � ._ <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> c <br /> EST�IATED CONSTRUCTION VALUATION (excluding land): $ S �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 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 ith the approved plan. <br /> � <br /> APPLICANT'S SIGNATURE: ,� ' DATE: � �`,� �G' <br /> NOTE! Parade of Homes events requi e separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />