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Total Fee: $���. �� Date Received: -�>�dZ,✓�'f <br /> � Entered By: ,��. Pernut#: /%'��� <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) WNER R CONTRACTOR <br /> JOB SITE ADDRESS: �` � ��� ��iy�tQ� P I , ��v�� ZIP: S ,� 3 �fi I <br /> NAME OF OWNER: ��r ,,, �1�u•�F r~�c,��. �c �����r��� PHONE: (home) �/7�- -�i �`'(3 <br /> (wark) S S 7- � 3 ► t <br /> MAILING ADDRESS: 22� u �4 t,r �e i C�v i�'� CITY: I,J c��,,� Q k- ZIP: S S�3 � ! <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: ; MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> � � <br /> TYPE OF WORK: New Addition�� Accessory Structure � <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �.@.� � �"` - " ,,,� .,- 3 .; } � <br /> STORIES: J SQ. FEET OF EACH FLOOR: � ; >� <br /> NO. OF BEDROOMS: _,� GARAGE STALLS: ATT. / DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 7j i ���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 is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with tY�e approved plan. <br /> ; <br /> APPLICANT'S SIGNATURE: � ./ � J�-�I�ATE: �" � � �� �! <br /> NOTE! Parade o,�Homes events require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />