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` Tot'al Fee: $ �/� �8 Date Received: !� /� c ; <br /> Entered By: �� Pernut#: ;��:� �� �. ; <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) � <br /> _------ <br /> ------------------------------------------------------------------------ ------------ - - --------------------- <br /> THE APPLICAIVT IS: (circle one) OWNER O CONTRACTO <br /> JOB SIT'E ADDRESS: 1 O c7 � �� � �2-r rti �c��Ip: � � �3 � �` <br /> N�IE OF OWNER: �Q.-�� �- � �''' �'"���'� PHONE: (home) <br /> . (work) <br /> MAILING ADDRESS: 0.,�..�.\ CITY: ZIP: <br /> `t o�'�-`� ��'- <br /> CO\"TRACTOR: � �� �e��-\�o��,� PHONE:_ � '�'�s`�' <br /> CO��'ACT PERSON: ` o s MOBILE/PAGER: �]�- "�- o� � 3 ��a) <br /> l�LAILI�i 1G ADDRESS: �2-I SS � R,,�'��. �-. CITY: 7 rv�� ZIP= S � <br /> ST�,TE LICENSE: # � �5(� <br /> � n p�c��S <br /> ARCHIT'ECT/ENGI'�Ii EER: ��— PH0�1E: <br /> �Z 4II.ING ADDRESS: CITY: ZIP: <br /> 1V.e�1LE: REGISTRATION# <br /> TYPE OF WORK: New Addition ✓Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK (describe in detain: <br /> STORIES: � SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � GAR.A.GE STALLS: ATT. DET. <br /> ESTLI-IATED CONSTRUCTION VALUATION (excluding land): $ �U � <br /> I hereby apply for a buildin� 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 Buildin� Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work wifl be in acco wit the approved plan. <br /> � ! /�/� <br /> APPLICA1�T S SIGNATURE: DATE: ��- <br /> NOTE! Parade o Homes events require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />