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Total Fee: $ Date Received: 9'Z`�-D� <br /> Entered By: Pernut#: � <br /> CITY OF ORONO - BUILDL�G 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) O�:vER OR (�QNTRACTOR�� <br /> / ��, <br /> ------ - <br /> JOB SITE ADDRESS: �G /� �-�'l� � l.. �:� `Q �� ZIP: SJ �j `��l <br /> NAME OF OWNER:���1 ✓L� `�C�/l/�rLA PHONE: (home) �J�� ����.G�C�7S/ <br /> (work) <br /> MAILING ADDRE5S: ���l-F CITY: ZIP: <br /> � <br /> CONTRACTOR: � , ��,.s�� �v C��v�' � PHOi�1E: ���i� ��a � 0 7� 7 <br /> CONTACT PERSON: �.e S S`��d K G��� MOBILE/PAGER: y S":�� �, �� 0 �// <br /> MAILING ADDRESS: `�G,�� c-c.� � /� S'�CITY: -s''�,Cc�u S A.Q�`LIP: .�3�4�s"�Cp <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> Np�ME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in det�i�: r�•'`�-k ��7��"y7 �� �� , .2 <br /> �� �� �-: .�i 2 -� ��C;� - i� , ,�� ,.� � �<<� < .� w����F��� <br /> STORIES: � SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATI0�1 (excluding land): $ -� � �Q C= <br /> , <br /> I hereby apply for a building permit and I ackno��ledge that the information above is complete and <br /> accurate; that the work will be in conformance v��ith 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 witlYout a <br /> permit; and that the work will be i ccordan w' e approved plan. <br /> �� � <br /> "y, � U, <br /> APPLICANT'S SIGNATUREy` 2--�/ .�- G '� DATE: < � I d � <br /> NOTE! Parade of Homes events require separate pernzit approval by Police Deparhnent and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />