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Total Fee: $ Date Received: ��� q <br /> Entered By: Perm.it #: � c�/ <br /> CITY OF ORONO - BUII�DING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> /� / .(pleas print all information) <br /> ----.�`!��_�_�r J14_�'�---����--------- <br /> -- -------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER R CONTRACTOR <br /> JOB SITE ADDRESS: �S��j�tST �i�,�u.s ��r ZIP: �S—`��cf <br /> NAME OF OWNER: %L (��� jZ PHONE: (home) 9�- Y 7�-Sy3� <br /> (work) 9s�- g y 7-� 9� 3 <br /> MAILING ADDRESS: _�S� �irrsr ��i 5 ,; CITY: ,,�� o ZIP:�� <br /> CONTRACTOR: �'��G PHONE: 9s�a- �`/7-7 9� 3 <br /> CONTACT PERSON: �E� � MOBILE/PAGER: <br /> MAILING ADDRESS: 5�9.�E CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: Grrt� � r� PHONE: /�'so1 - y�S'-�'f�;— <br /> MAILING ADDRESS: !Q/(v � Si it c la ;� CITY: /N o��� �p ZIP:,z s�(o y <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration � Land Alteration <br /> PROPOSED WORK(describe in detai�: �t�v u� ��o� . �2r���� t %sz��sr 3 �V�c�c� r� <br /> STORIES: �"�z SQ.FEET OF EACH FLOOR: /Zo 0 4S ri-c�:� �/oo�- <br /> NO. OF BEDROOMS: �_ GARAGE STALLS: ATT. 2 DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $� p c�O <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 without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: Z <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 /> 9 <br />