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,/' <br /> ' � <br /> � Total Fee: $ � ���� � ' Date Received: <br /> Entered By: ��. Pernut#: j�' <br /> CITY OF ORONO - BI.TII..DING PERNIIT A3PPLICATION <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) OWNE OR CONTRACTOR <br /> JOB SITE ADARESS: �� �o �C��� ��� � 'L7�U�ZIP: �5� S� <br /> NAME OF O`�NER: V�� t- �A� l ,�o,� PHONE: (home) �7�-���� <br /> (work) '��{—/.S�g <br /> MAILP�tG ADDRESS: S�-rn� CITY: L,, L�u ZIP: �'`3.5� <br /> C0�ITRACTOR: � j -F PHO�TE: <br /> CONTACT PERSON: � MOBILElPAGER: <br /> MAILI�i 1G ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHIT'ECT/ENGINEER: PHO��tE: <br /> MA.ILI�i 1G ADDRESS: CITY: ZIP: <br /> rJ�,ME; REGISTRA.TION# <br /> TYPE OF `VOR�i: New Addition_� Accessory Structure <br /> Move � Remodel/Alteration Land Alteration <br /> PROPOSED`VORK(describe in detain: ���� �-�,:� h G�-� C�.� <br /> STORIES: SQ. FEET OF EACH FLOOR: - <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTII�i IA.TED CONSTRUCTION VALUATION (excluding land): $ a,��C� <br /> I hereby apply for a buildin�permit and I acknowledje that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the Ciry and with <br /> the State BuildinJ Code; that I understand this is not a permit and work is not to start without a <br /> pernut; and that the work will be in accordance with the approved plan. <br /> 4 <br /> APPLICAI�T'S SIGNAT'URE: Je DAT'E: � ��( - J`r� <br /> NOTE! Parade o Flomes 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 />