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Total Fee: $ �C� `�•% � Date Received: �� O G <br /> Entered By: ��j Pernut#: C t' ;� :� <br /> CITY OF ORONO - BUII..DI11G PERIVIIT 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 ONTRACTO <br /> JOB SITE ADDRESS: � �� ����`� FcivW1 �:�cLc� ZIP: �c3�(o <br /> NAI��E OF OWNER: �V Y� � ����t� �Y A �-�n PHONE• (home) � 3�—�-�1�7 <br /> � (work) <br /> i�IAILING ADDRESS: ��_ ���1� �aV�'v� �.`� CITY: ��V'��a ZIP: C;Y? ,� (e <br /> CONTRACTOR: «�,'�..�'�r5`z �" ` �c�-�";S PHONE: ���I ��3 �3.,<�?��i � <br /> CONTACT PERSON: �a d � ,��e v� NiOBILE/PAGER: �,� 1` 3�3 <br /> MAILING ADDRESS: 1��4L) _ a"d �' CITY:Q�Ioia4L�� ZIP: ��_�SL��'-�-- <br /> STATE LICENSE: # : � a3�— <br /> ARCHIT`ECT/ENGINEER <����:�' �` PHONE: <br /> 1�IAILING ADDRESS: J CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition / Accessory Structure <br /> Move Remodel/Alteration V Land Alteration <br /> PROPOSED WORK(describ in detai�: �tiS�ivtr:l� � �� �S�� \ ��� f ������`� <br /> ���d �a.��t< <� y'a� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTINiAT'ED CONSTRUCTION VALUATION (exclud.ing land): $ �� �a�' <br /> I hereby apply for a building 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 Building Code; that I understand this is not a pernut and work is not to start without a <br /> permit; and that the work will be in accordan e with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: � �� <br /> NOTE! Parade�Homes events require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br />