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Total Fee: $ �-� �� - �� Date Received: p C,^f � <br /> '��� <br /> Entered By: ��7d� Pernut #: 3 ��� <br /> � �' <br /> ��`��� � <br /> (��� ���/ CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> V� '� <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNE13iOR CONTRACTOR <br /> JOB SITE ADDRESS: -���� �/ �-�'F'rt' �% ZIP: <br /> NAME OF OWNER: ��� M; , {'j1��c�� iw If',c��t�� ::, PHO�IE: (home) �S`� �F� -���`t/ <br /> , ��tw�- <br /> (work) � l,a �n: !l�� <br /> MAILINGADDRESS: JL'j/� LY��=n� Il,t,',jd f,U; CITY: (3l"�,_;�,KT�G„ ZIP: 55 �{ 3 ( <br /> CONTRACTOR: ���i f�, ��_- PHONE: 7� ���=���'"� <br /> CONTACT PERSON: /�a,��,�,�k,� �L MOBILE/PAGER: <br /> MAILINGADDRESS: � ,r�j �� Ht Si iL.L: CITY:/1�G�-�ccrl.Lc, ZIP: js �(: � <br /> STATE LICENSE: #T J/y� <br /> ARCHIT�CT/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�: ti:<u �/�.,,F c� � tl+ tt f t�:c�rY� C l�t�-��L-�=" <br /> �>.�. .?=�r ;��-�� <br /> STORIES: ;� SQ.FEET OF EACH FLOOR: ������ S� �' <br /> NO. OF BEDROOMS: _3 GARAGE STALLS: ATT. �� DET. <br /> ESTIMATED COI�TSTRUCTION VALUATION(excluding land): $ /�7 S GcJ�� <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: ,y ' � ' <br /> (. �'�l' -_ ... <br /> NOTE! Parade of Homes events`require separate permit approval by Police Departrrtent arad <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />