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� ��Total Fee: $ Date Received: � -��/-�C.��� �- <br /> , Er�tered By: ��,�,t.. Pernut#: __ /����g`�� c:" <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) OWNE 'OR CONTRACTOR <br /> JOB SITE ADDRESS: �c�c; r�';� �5/K�,�. ZIP: <br /> NAME OF OWNER: ���,,,v �t r dlti C.i" / PHONE: (home) �'/Z - 7/ E - ?�; / <br /> (work) <-_,���.�. < . <br /> MAILING ADDRESS: �c� i3��� �� j � CITY: �.X�:1,:,,� ZIP: �--�;� l <br /> CONTRACTOR c�>..�,�� 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 /> TYPE OF WORK: New Addition Accessory Structure � <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �c ;� z�y i���j S��-c_ � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ %`��� - �� <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 /> APPLICANT'S SIGNATURE: � ..- DATE: ,�C. /j � Z <br /> NOTE! Parade of Homes events require separate pernzit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />