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, <br /> , T�tal Fee: $ ��`�� ?,� Date Received: /3 �i� <br /> Entered By: ��,.�! Pernut#: 9� 9 <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 CONTRACTOR <br /> , <br /> JOB SITE ADDRESS: '-� l ��'�,;%���,,� ���IP: <br /> � ✓ <br /> �' �-��� <br /> NAME OF OWNER: ' �� � ` PHONE: (home) �-7�-3 ���/ <br /> (work) <br /> MAII.ING ADDRESS: 'G3 n �` � CITY• ' ZIP• _-��;3_� / <br /> / 1 / -��'���.��-��� / <br /> CONTRACTOR: � l, �(�/ ' ryr , , �,PHOIVE. .-._ -- °> _7 .�_i . <br /> CONTACT�ERSO �� MOBILE/PA�ER: 4-r� .-�- -� -i - . . , � <br /> MAILINGADDRESS• � } , CITY• �`�',; :��/ 'LIP: _ �.�/ <br /> �-t.,,��1 11�.� <br /> STATE LICENSE: # n�/,n <br /> w <br /> r / <br /> ARCHITECT/ENGINEER: � P�ONE• �7 f-_�� � � <br /> MAII.ING DRESS:��o_s- �. �: CITY:,����.�.� ZIP: �_��.�� <br /> NA�'VIE; REGISTRATION 1t ��,��� <br /> � <br /> TYPE OF WORK: New Addition / Accessory Structure <br /> Move Remodel/Alteration 1/ Land Alteration <br /> PROPOSED WORK(describe in detai�: ' - � �- . � ,� ,� �1 <br /> � �, . . / , <br /> c� ` �� � <br /> STORIES: _L_ SQ. FEET OF EACH FLOOR: ���� <br /> NO. OF BEDROOMS: _�_ GARAGE STALLS: ATT. �. DET. o <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��� � � u-' <br /> I hereby apply for a building pernut 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 /> APPLICANT'S SIGNATURE: l ' � '� DATE: �J/1..� � <br /> NOTE! Parade of Homes 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 /> 5 <br />