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� <br /> . T'otal Fee: $ Date Received: <br /> Entered By: Pernut#: <br /> CITY OF ORONO - BUII..DING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> � ---------------------------------------------------------------------------------------------------------------------- <br /> _ <br /> THE APPLICANT IS: (circle one) OWNER OR C((S�TRACTO__�' <br /> JOB SITE ADDRESS: r 3-7 C�-�y � �"�s-�- � � . ZIP: <br /> NAME OF OWNER: '�v�a+ �r�}-�er J��� PHONE• (home) 7 -- (id' <br /> / (work) <br /> MAILING ADDRESS: �' �f 7 ���7 CY�-�--� �ITY: ;���i'_. ZIP: <br /> T <br /> CONTRACTOR �-�.LS�'�2— PHONE: SYi 3 -5 3 z_S- <br /> CONTACT PERSON: �o,� �t�� MOBILE/PAGER: <br /> MAILING ADDRESS: 33 i5 � t��� l��� CITY: f�l�nf. s ZIP: � �S�Z Z <br /> STATE LICENSE: # ;z�17 <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�: �,r—d�"� /�=�-�L�� �-re �...� -�-��" - <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $�5��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 Buildin; Code; that I understand this is not a permit and work is not to start without a <br /> pernut; and that the work will be in accordance with the ap�roved plan. <br /> APPLICANT'S SIGNATURE: -�' ���/� DATE: �`� `�� 5� <br /> NOTE! Parade Qf Homes 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 />