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� � CCh�r�� e� <br /> Total Fee: $ ��,j. /� Date Received: <br /> Entered By: Permit#: �0 3 �7,3 <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) OWNER OR ONTRACTOR � <br /> JOB SITE ADDRESS: ���:� y^(�����U ��evJ ��I , ZIP: <br /> � �� e r S PHO�tE: ) ,��.��� <br /> NAME OF OWNER: Q� � ` (home <br /> , (wor <br /> MAILING ADDRESS: �3�� 3 ��f�(`� �'t�EJ CITY: ZIP: <br /> CONT'RACTOR: -�L IC1 �v U���� PHONE: g�� ��f � �� <br /> CONTACT PERSON:�)e r v �{ ,�C,� ,'2-���E MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: J;�, �i� L, ��� zIP: <br /> STATE LICENSE: # J U >� <br /> ARCHITECT/ENGINEER: PHOivE: <br /> I�JAILING A.DDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF '�VORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED`VORK(describe in detai�: ��.�'O'�j� �''�'rU��; ��US� � ����'�i � <br /> ��� t PU � � h <br /> STORll::S: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GAIZAGE STALLS: ATT. DET. <br /> EST tMATED 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 Ciry and with <br /> the State Buildin� Code; that I understand th.is is not a pernut and work is not to start without a <br /> pernut; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: -� DATE: � �� r yr <br /> NOTE! Parade qf Homes events requare separate permit approval by Police Depariment and <br /> City Counci160 days prior to the event. Non permitted events wi11 not be allowed. <br />