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Total Fee: $ ;� t: _ Date Received:,���/�� <br /> Entered By: - ,' Pernut#: �";�' �f <br /> CITY OF ORONO - BUILDING 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) WNER R CONTRACTOR <br /> JOB SITE ADDRES5: 3S—tf,s"� � .� i�1 ZIP: ,�3 7 f <br /> NAME OF OWNER: J G ��—' U �vbar PHONE: (home) `f 7l— 7/ Y� <br /> (work) �f?j—OS3'Z <br /> MAILING ADDRESS: � ��.�'v y �/ CITY: O/'a�.�,--- ZIP:�S'�� <br /> CONTRACTOR: lj PHONE: <br /> CONTACT PERSON: � ��' MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <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 detai�: r • � �o�� <br /> —��� <br /> STORIES: SQ. FEET OF EACH FLOOR: 3 Z� <br /> NO. OF BEDR OMS: GARAGE STALLS: ATT. DET. <br /> ed <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �j�c9 a� <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: <br /> NOTE! Parade of Homes even 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 /> 6 <br />