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` - rotal Fee: $ Date Received: <br /> - Entered By: Pernut#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATIOl� <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE �PPLICANT IS: (circle one) OWNER OR ONT CTOR <br /> JOB SITE ADDRESS: 5� �`J f`�'�i'�c<< S% <br /> ZIP: 55 -3 I� <br /> NAME OF OWNER: /L 7i f���L, PHONE: (home) �l 7/- c��`/�� <br /> ' (work) � <br /> MAILING ADDRESS: `�/`}/�'`�`� CITY: � ZIP: 55 3`r/ <br /> ���,�.ti,��� <br /> CONTRACTOR: C'S 1/' ��`�"� �y�� PHONE: —7�3- �'� �-�%a ,�S <br /> CONTACTPERSON: /�� rC_ MOB E/PAGER: ��l � � ��?� -y�SS <br /> MAILING ADDRESS: 7-7Cv � �3�`/� �v CITY: �Jt ZIP: S�j <br /> STATE LICENSE: # ���S �F�% <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NA�-IE: REGISTRATION# <br /> / <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> �_ <br /> PROPOSED WORK (describe in detai�: �/���u���j�-�-���, � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ %5� -3�� <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: � 7 ��� <br /> NOTE! Parade Qf Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permiited events will not be allowed. <br />