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� � � <br /> To'�al Fee: $ /i�, �,��3 Date Received:�"/2/o� <br /> Entered By: ,r, Pernut#: f'����0 8 <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) OWNE R CONTRACTOR <br /> JOB SITE ADDRESS: ,�SgS C/��/Sf�JL PI�C� Z�� SS.3�l� <br /> NAME OF OWNER: �(�����(V � L-�� N� � PHONE: (home) � �/ - 9 4�// <br /> (work) �f��-�'UW� <br /> MAILING ADDRESS: 35�S�R�S7�A� P�-l�C� CITY:�,�fA ZIP: �S3�/ <br /> C0�ITRACTOR: PHONE: <br /> C0�ITACT PERSON: MOBII.E/PAGER: <br /> MAII,ING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: N�w Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: G V� i�c�S�" d��A��FdC " R � +r- �� <br /> �r�r� S�h���w��od � 3s�s c�,eus�Ac Pi�-� ���,e��� rs aa ca.� +- <br /> C�'/��a j� u.� � �� ���_ pl�tc� d o�J ��o��-,��j �sC� � -- :'����II bf �s��� �� ��' s ,�y � <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 /> -� , <br /> APPLICANT'S SIGNATURE: � DATE: ����v {JD <br /> NOTE! Parade o�Homes events require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />