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� 'Total Fee: $ Date Received: � <br /> Entered By: ,�ij , Pemut#: !�2�7 <br /> � CITY�OF ORONO - BUII�DING PERMIT APPLICATION <br /> A11 informa�ion must be submitted in full before plan review will be started. <br /> ��• _ ase print all information) � <br /> -°--�=--�----��-�-----���------- --�----- - -------------------------=---- ---- <br /> THE APPLICANT IS: (circle one) OWNE OR CONTRACTOR � ' <br /> JOB SITE ADDRESS: �� �, {-�.I�-���C.� ZIP: S 3 <br /> NAN� OF OWN�R: C��.O � �"jP�� IC,S .:PHONE: (home) ? 3 " �3 � <br /> (work) <br /> MAILING ADDRESS: � � CITY: ZIP: <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: � MOBILE/PAGER: � <br /> MAII�ING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # • <br /> ARCHITECT/ENGINEER: PHONE: � ' <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> I�Zove Remodel/Alteration Land Alteration � <br /> PROPOSED WORK(describe in detain: � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. � <br /> ESTIl1�'IATED 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 �vithout a <br /> permit; and that the work wiil be ' accordance with the ap r ved plan. <br /> APPLICANT'S SIGNA `� DATE: � �' �3 — � 0 <br /> NOTE! Parade o,�'Homes events require sep rate permit approval by Police Department and <br /> C`ity Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />