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Total Fee: $ �/ �j ���� Date Received: `�'� � ' `%:� <br /> _ Et�tered By: Pernut#: / ����2, <br /> r <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) OWNER OR��CONTRACTORy; <br /> JOB SITE ADDRESS: .�-� ?� [��z� l/, t�,r `0!✓ ZIP: '-� -� �� <br /> � .� <br /> NAME OF OWNER. �`t� +� `���%r•'t� ��A1'�i G�, i� �- PHONE: (home) ��� 3 ��'`'� <br /> � (work) <br /> MAILING ADDRESS: ' �� yt7�'� CITY• �.,'�'�`�'°�,'� ZIP: `03 �• � <br /> F�< <=' �� 4:< �= � PHONE: � <br /> CONTRACTOR: `- �'` -'-' � ' S �' Z�- ?� <br /> CONTACT PERSON: ;=� �'� f' MOBILE/PAGER: L"� � k'oi �-� 3 7` <br /> MAILING ADDRESS: ����; (T�-�%� �'l�L /. :% CITY: L���,�"���'��7� ZIP: :,.��3 �'/ <br /> STATE LICENSE: # ��-x'��� '�7? <br /> ARCHITECT/ENGINEER:i`'�'� i.��`-t�-+1 r���!%—r� PHONE: �=' I�. �< .%1�- <br /> MAILING ADDRESS: �/ � �j '� `�;�. CITY: �"'i�- '' ZIP:.:���Cj�-�___- <br /> NAME: �.%'.:��`�=<.�� �<���-x REGISTRATION# ��>..��� <br /> .. <br /> TYPE OF WORK: N�w Addition � Accessory Structure <br /> P�Iove Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: � �� /✓��`�' ��'� �`�`�' ��� ' �� `-�'�`��" 'f�� <br /> . . - �t _ <br /> �/�� (' aa`,r �>''S / �!'� �/_�_ /f'/"i� 1� • d�''L� • �-l''�/ ,!�;j'��i" C��,� <br /> Y <br /> STORIES: � SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ �!', ���-��! <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,,�c ordance with the approved plan. <br /> � �.. � �� _ �-�=�� <br /> APPLICANT'S SIGNATLTRF: -'�-= >!-;'�. DATE: <br /> NOTE! Parade of 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 /> 5 <br />