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, 3 � �7 <br /> Total Fee: $ ��2 ' �� Date Received: ��� S-U � <br /> Entered By: ���� Pernut#: �4(o y.S�/ <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATIOIeT <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------ -- - <br /> - ----------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR <br /> �--. �� <br /> L <br /> JOB SITE ADDRESS: �� �� �t..( � �`)�J � ZIp; �S^� S�O <br /> ��� " , � <br /> NAME OF OWNER: �DU 6- riv�PvC i�0� PHONE: (home) �Sz� �7 � � G�S� <br /> � (wark) q S 2 � 2 S 3 � o c� �� <br /> NiAILING ADDRESS:S�� CITY: ZIP: <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 /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED WORK(describe in detai�:' �� �� 1= � � S I D � W C�di� � S�-� �N� �� �� <br /> �� E '�. {'V�E � IU��owS <br /> i � z � � , z <br /> STORIES: � �- SQ. FEET OF EACH FLOOR: DLj � � O <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET.� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $� �n� <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 acco ce ith the appro�d plan. <br /> APPLICANT'S SIGNATURE: ``� DATE: � 1L3 C� <br /> NOTE! Parade.Qf 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 />