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� <br /> � <br /> _� <br /> Total Fee: $ Date Received: <br /> Entered By: ��i.�, . Pernut#: ' �,j.�' <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 CONTRACTOR <br /> JOB SITE ADDRESS: ��� �����Kt� �c���� ZIP: <br /> NAME OF OWNER: fi � �, � PHONE: (home) <br /> �7�- - ��J � -7 <br /> ,� (work) <br /> MAILING ADDRESS: ��a ( �K���h� L.cti� CITY: ,��owa, ZIP: <br /> CONTRACTOR I��IC(' l(`li� � PHONE: � 7��C _S -� I <br /> CONTACT PERSON: �( ' MOBILE/PAGER: <br /> MAILING ADDRESS: 7,� vr+���� ,�-✓. CITY: ���� ,,_-� ZIP: S^�� � <br /> STATE LICENSE: # �d��,, e� (�(D <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: �� l�� ��,�►� I �,����'`� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ,��Q� � <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 th p roved plan. <br /> APPLICANT'S SIGNATURE: DATE: ��/ �� � <br /> NOTE! Parade o,�Homes events require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />