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Total Fee: $ ��5 • 5� Date Received: � <br /> Entered By: � Pernut#: 1 ZZ t <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 CONTRACTOR� <br /> JOB SITE ADDRESS: Z(.�� ( Cti%�-�- G� ZIP: <br /> NAME OF OWNER: (� � PHONE: (home) � <br /> (wark) (p Z S=- �'-r�k�P <br /> MAILING ADDRESS: 7� d l CITY: D�-�-c�-- ZIP: <br /> CONTRACTOR: �I--� � � PHONE: �f�J� a S� Z- <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: �t'-//e S7 CITY: 5��o�—ZIP: <br /> STATE LICENSE: #T/�'(�� M��, _ <br /> � ''t:� <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 /> ,,. �_,. <br /> PROPOSED WORK(describe in detai�: � S P�� �� ���:� <br /> r � <br /> � <br /> E� <br /> STORIES: SQ. FEET OF EACH FLOOR: ��: ,`. ' � <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. �;�� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �d pp� d� <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 accordanc with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: G <br /> NOTE! Parade of 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 /> 5 <br />