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Total Fee: $ •� Date Received: `d � r <br /> Entered By: � Pernut#: (�q.� <br /> CITY OF ORONO - BUILDING PERMIT 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 CONTRACTOR <br /> JOB SITE ADDRESS: -v� 3 �':� ��/��'U"/ �'-�v ��-fj�- � ZIP: >5�-�1` <br /> NAME OF OWNER: � �'� � �L v G�PHONE: (home) �'`7�- �� �T� <br /> (work) �------___..�_. <br /> ,�.3� ,� , !�✓ �r.v ���<<'CITY: W/�.�'"ZATi� ZIP: �s � <br /> MAILING ADDRESS: �y `3'� <br /> CONTRACTOR: �� �-��--f= PHONE: �7/— �� �� <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: �'� �;'�= CITY: Z�: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: Z�� <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration - Land Alteration <br /> PROPOSED WORK(describe in detai�� ��. �%� f'.9/T�� �—t'->`'L'9�-�'`� � `'��'� <br /> �}� �j ,� /1J c',�- S j d-c,.i N� <br /> :, <br /> `� SQ.FEET OF EACH FLOOR: <br /> STORIES: � <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ c�.'��='�'� <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 the approved plan. <br /> � � DATE: ,,�:�I'` t_.< %� <br /> APPLICANT'S SIGNATURE: , ��ti ,���L�-� <br /> NOTE! Parade of H� events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />