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� . <br /> _ (� , �� � � � <br /> Total Fee: $ • �,,l-�� ,� �- ' `-�` Date Received: , -/�� "- <br /> Entered By: _ � � �r�� Pernut#: <?-�.>� ;!'; � <br /> ; , t-� <br /> CITY OF ORONO - BUII.,DING �ERNIIT 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 O CONTRACTOR <br /> JOB SITE ADDRESS: 3�Q� Dffit�iL � ZIP: � <br /> NA1�IE OF OWNER: "'���,ry� ����(�/� PHONE: (home) <br /> . �— (work) <br /> MAIL�G ADDRESS: �G[� �yq-r/-L CITY: ���_ZIP:_C����� <br /> CO\�'RACTOR: (� /C�l� PHONE: �SZ _ �t d�-ZZ Z-S <br /> COti�ACT PERSON: NIOBILE/PAGER: �/Z- 3Z-� -�3'��- <br /> �LAII..ING ADDRESS: L�b� �- ��f s;-, CITY: � ZIP: $�'�� <br /> ST�TE LICENSE: # � <br /> ARCHI'TECT/ENGINEER: PH0�1E: <br /> `IAII.I�i 1G ADDRESS: CITY: ZIP: <br /> N�IIE: REGISTRATION# <br /> TYPE OF `VORK: New Addition Accessory Structure � <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED WORK(describe in detai�: �,C ��• �/J�- J�IJ�� <br /> STORIES: � SQ. FEET OF EACH FI.00R: ��b <br /> NO. OF BEDROOMS: �_ � GARAGE STALLS: ATT. DE . <br /> ESTLI-LATED CONSTRUCTION VALUATI0�1 (eYcluding land): $ �, �� <br /> I hereby apply for a buildin� perni.it 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 wiII be in accordance with approved plan. <br /> APPLICANT'S SIGNATURE: DATE: ��� - �� <br /> NOTE! Parade of Homes event 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 />