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Tota'1 Fee: $ �� �� �i `1 Date Received: <br /> Entered By: Pern�it#: /� /5 f <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 OR ONTRACTO <br /> JOB SITE ADDRESS: u� �,•�� �.���� �� ZIP: <br /> _��� �``�� <br /> i ��. l i� � l_ � ` <br /> NAME OF OWNER: �-•�I--��`��� t t C�"l����� PHONE: (home�' �� <br /> d (work) <br /> MAILING ADDRESS: i i�%�-�-��'vY �.�� �. CITY: �;�C�� - ZIP: <br /> CONTRACTOR: �I�.��Q��-�` "��=�����L' ��%�-� PHONE: �f Z�°' I�Z-�. <br /> CONTACTPERSON: .���IC- �C'i(� �Gt.! MOBILE/PAGER: '�iY� —�Z-�'`f <br /> MAILING ADDRESS:�?;(�� ���I d�-'� �V` �.� CITY: �;L`�J 3'JL'� ZIP: - " ��' <br /> STATE LICENSE: #`Z;�:G���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 /> PROPOSED WORK(describe in detai�: �d I�.-f'I���' �'�'2������ 1���''��`�-'� � �, <br /> � �,�'''�������'�`� �.''��.�1�� 1� `�-4�% � � A' �E�,�.L;'� <br /> L � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ Z'1,�`-�`' .l l% <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 not a permit and work is not to start without a <br /> permit; and that the work will be in accor�lanc ith the approved plan. <br /> ,`��,' ,�� `�- ��j, � <br /> APPLICANT'S SIGNATURE:.r ''�; DATE: �`�"" �.�1 � C�� <br /> , <br /> NOTE! Parade of Homes events require separate perntit approval by Police Deparhnent and <br /> Ciry Council 60 days prior to the event. Non pernzitted events will not be allowed. <br /> 5 <br />