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� � � C � <br /> ` (�-`� -C=,� <br /> Total Fee: $ �� � � � " �f � Date Received: ' <br /> Entered By: _ Pernut#: f?C���L'',� <br /> � <br /> �4�����\ (�� � �j L=� <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 CONTRACTOR <br /> JOB SIT'E ADDRESS: �S s �D r�s� /t(�r'�s L-/�-n�r. Z�=. � <br /> 4'7�-5 Y3.5 <br /> NAl�iE OF OWNER: ��, �� � �.2 PHONE: (home)�j5�-�- <br /> : (work) �j5�- 9Y7- 79I� <br /> MAII.ING ADDRESS: �.S �n26sr A2r►,s �-.I�n6 CITY: IM Uu n�� ZIP: j 5.3 6 5� <br /> CO\�TRACTOR: � � �� - PHONE:_ 7�3 -`f 7�- 0 �a I <br /> CO\�'ACT PERSON: � „ �.�.,v k � MOBILE/PAGER: �,L� 6(� -3 6� -G/ZS <br /> iVLAII.ING ADDRESS: l G(�5 C'�./�.(. ;Z�/ CITY: ��C.Qlz.e ZIP: S.3 S^ <br /> ST�TE LICENSE: # C • �173� <br /> ARCHITECT/ENGINEER: PHOi�TE: <br /> NIA.II�ni ,TG ADDRESS: CITY: ZIP: <br /> NA.1IE: REGISTRATION# <br /> TYPE OF tiVORK: New Addition _� Accessory Structure <br /> Move Remodel/Alteration � Land Alteration <br /> PROPOSED WORK(describe in detai�: „(;�-; ca K�,v�- Fia�,�-(�J,--f-;ee� • <br /> �P�O..vY,�o � ►�-v�k..A 4�bve ' �v�.U"rl-�-e i iv�-n C7"H�` Y�'u�;v� Le✓1?f <br /> STORIES: w u/v• SQ. FEET OF EACH FLOOR: <br /> l�'O. OF BEDROOMS: � � GARAGE STALLS: ATT. DET. <br /> ESTL�IATED CONSTRUCTION VALUATION (excluding land): $ ��s� �j"�(�Q ao <br /> I hereby apply for a buildin�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 Buildin; Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work wiR be ' ordance with the approved plan. <br /> APPLICAItiT'S SIGNAT . � DATE: (�—�J-D 3 <br /> NOTE! Parade of Homes events require separate permit approval by Police Department anrl <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />