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. , <br /> Total Fee: $ ,�, � T, �7_;�. Date Received: ���— ��dT . <br /> r Entered By: /7��r a Pernut#: j'��SJ� <br /> �-, <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 /> ;� ` i <br /> JOB SITE ADDRESS: r �`�i� �`_ I l�l ' ZIP: I <br /> I <br /> NaME oF owrrER: �C��'Gt,�(� �1"��.��'1 rxo�: �nome> ,�3q -5l�-:� � <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: �(,t,�(,{.,���� ��G�l O�S PHONE�CQ ( �� 8S I "��Z �Z � <br /> CONTACT PERSON: . Y►��tr' C MOBILE/PAGER: <br /> MAILING ADDRESS: ' � �I I �ltil ^� CITY: ( � � �IP: ''1j�{' ' <br /> STATE LICENSE: # �j Z J �(��p <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration X' Land Alteration <br /> PROPOSED WORK(describe in detai�:..� ��Ol/�� Q� -�.k(5'���'l-� � �jS�� � E�Q (,�} <br /> � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � �„Q�9���- �� <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 /> � � <br /> APPLICANT'S SIGNATURE: � � 'Y' '� :�C.�C� DATE: ��l� �� <br /> NOTE! Parade o�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 />