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_ V <br /> '' Total Fee: $ Date Received: <br /> Entered By: Pernut#: ;: j�; _ <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 O CONTRACTOR <br /> JOB SITE ADDRESS: ��g�J ���'l GG'G��I� �G�; ZIP: �S� .� � � <br /> NAME OF OWNER: ,����z-i/�%��c [�C�-�S /� PHONE: (home) �7�- � ��� <br /> (work) <br /> MAILING ADDRESS: // �v G G��J������/I7�.CITY: ��o�z.�; ZIP: 5�' 5'3 ��f <br /> CONTRACTOR � G/�ia c�z , ,.— �/�'v< C�-,`�Ci PHONE: rJ/U� `f �� <br /> CONTACT PERSON: �0<2.��-� ��:�VI4BILE/PAGER: 7�i�S� 3� �-- <br /> MAII.ING ADDRESS: l f�UU �c'c-��-�r �� S�ITY: �'% �c-c�S /�.�ZIP: 5_s,_,�� � <br /> STATE LICENSE: # 9 �G � <br /> ARCHITECT/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 detain: ,��c-=�'7, SG=F'1'� T �.�S'c�:.4 . (/�«-%<--�� <br /> � �-�i�,�'S - <br /> STORIES: �_ SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. �'_ DET. <br /> ESTI�l�1ATED CONSTRUCTION VALUATION (excluding land): $ ���i'�. - <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 pernut and work is not to start without a <br /> pernut; and that the work will be in accordance with the a roved plan. <br /> d <br /> APPLICANT'S SIGNATURE: �� �"�✓ DATE: `t/>y'/1� � <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 />