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� I <br /> Total Fee: $ Date Received: <br /> Entered By: Pernut#: <br /> CITY OF ORONO - BUII.DItiTG PERNIIT APPLICATION <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) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �_�� �-�;s r='�,-�_���1`� � 4�. ZIP: �- ��� <br /> NAl�iE OF OWNER: �-�(", �' � S—r-���_ 1�__ PHONE: (home) <br /> (work) <br /> MAII.LVG ADDRESS: �� �� �-r,rz��� ��r Cv�� 1 v�CITY: �`�t C�_�r t�'�_� ZIP: =�"I <br /> (�]��"5�-�i 1�5�1�-(� <br /> COI`'TRACTOR: �ti 1�r�r�5�•�- ��C�IC� r ��t��, � � \v`�PHONE: .". <br /> CONT'ACT PERSON:.`_j � i MOBILE/PAGER: -�----- <br /> MAILING ADDRESS: � � '; . -�'< �.r•. ��L..: CITY:��5�,c"E"_:� ZIP: ��� '�1 <br /> STATE LICENSE: #T,C������-7 � �'� ��-- ��4 <br /> ARCHITECT/ENGINEER: PHONE: <br /> l�L-'�II.ING ADDRESS: CITY: ZIP: <br /> N��; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> � S � � ( <br /> PROPOSED WORK(describe in detai�: �J!,�� `�,��� � L-�� ��-' J7 �l� ��� iC�"�, <br /> �' �.�-a � �� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> 1�'O. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> �� �� <br /> EST��ATED CONSTRUCTION VALUATION (excluding land): $��T�,� �� <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 thi� is not a permit and work is not to start without a <br /> permit; and that the work will be in accorda ce with the approved plan. <br /> ! � <br /> ,. <br /> APPLICANT'S SIGNATURE: � � � % DAT'E: ., <br /> , , <br /> NOTE! Parade�Homes events require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br />