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- . <br /> Total Fee: $ Ia-�.a� Date Received: /� -/y-0/ <br /> Entered By: ,��,yyL, Permit#: ����j -�� -7 <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATIOl`�T <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> TI3E APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �I ZIp: <br /> � <br /> NA1�iE OF OWNER: PHONE: (home) �.� a'� `�'��j <br /> ��3 <br /> (work) � <br /> MAII..ING ADDRESS: , CITY: ZIP: C� <br /> / <br /> CONTRACTOR• �. PHONE: q'�j��c3�c�� <br /> CONTACT PERS N: MOB GER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: #��Q/�/���' <br /> ARCHITECT/ENGL�TEER: PHONE: _�--� <br /> MAILING ADDRESS: T�ry���� ZIP: <br /> N REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: <br /> STORIES: � SQ. FEET OF EACH FLOOR: c,� fli' <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. L DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ `7 <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 /> pernut; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNA • (! w DATE: � ` — <br /> NOTE! Parade of Flomes events require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br />