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.Total �ee: $ �.� `� ''• � `:' Date Received: ;� �.. �� <br /> Entered By: ('� Permit#: ,�l� ?�.L-t <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) WNE�OR CONTRACTOR <br /> JOB SITE ADDRESS: ���'/� CL'`?� �'��- ZIP: �5 3 ��, <br /> NAME OF OWNER: ��i���`ln�" ��U ��G�-1b ✓� PHONE: (home) � I� - `�7 3�"�,�-�C:, <br /> (work) <br /> MAII,ING ADDRESS: `i�-(S ��c;;� �L�vvr. J�c� CITY: [�r�.°l� r: ,M�1/ ZIP: � 3 7 4= <br /> --r— <br /> CONTRACTOR: (� G�5� �L �� ►-�,� ,�- v� � rti'1 PHONE: �; �� - �13 y ' ��� <br /> CONTACT PERSON: l�� I ry��t 1 MOBILE/PAGER: ��G• �- �3 I � <br /> MAILING ADDRESS: � �; `��`i �uP�✓ r r' CITY: ���,;;� r r A I�l� ZIP: 5 5 � 4 7 <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�: �f' r�r,,, h,,,, ����c; c� c1(�{-u�6u���� �h���It.� e:� v� <br /> � J <br /> �'�,v ti c t('�L (�T )C C. C,�k l.� C ��-( �'1.'1-� Gt�'(,4'w l��G� � <br /> STORIES: l SQ. FEET OF EACH FLOOR: I�� f�f � <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ( �6 ��U 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 pernut 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: ����,�f fte';,;,ti V �lc w�Y!l�� DATE: ��- �"%��_ <br /> NOTE! Parade Qt'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 />