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, ' . <br /> Total Fee: $ �-���J Date Received: o2�/z.�9 � <br /> Entered By: �. Pernut#: /000 <br /> CITY OF ORONO - BiTII�DING PERNIIT APPLI TION <br /> All information must be submitted in full before plan review ' 1 be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> ,-�1'7b�' '/ <br /> JOB SITE ADDRESS: Z70U K6cc. �,�� ZIP: 55 3S�_ <br /> Low�6 LpKt M <br /> NAME OF OWNER: ]�r�c� C�r►�ua,c�r�.aS PHONE: (h me) <br /> (work) `70 3 7l00 c� <br /> MAILING ADDRESS: 9�{0/ JA�tS �✓� CITY: �.00anua w� ZIP: 55 <br /> CONTRACTOR: �l�ll (,D�Gr�q-wJ�►- PHONE: 2 Z - 95// <br /> CONTACT PERSON: /1�uc.�c 13�c.u�cr... MO�I.E/PAGER: -0 87 Z� 3to '�G�'�7o f+ <br /> MAILING ADDRESS: 70i0� ��x�D CITY: � Con•s ZIP: �Z(v <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: C�'�P��" �2Gt�c7C�T 5 PHONE: � S 12 t� <br /> MAII.ING ADDRESS: Syp� 13a A�a CITY: A��C a ZIP:t�3v <br /> NAME: j� �.d�✓t PA+�.�' REGISTRATION# <br /> TYPE OF WORK: �� Addition Accessory S c <br /> Move Remodel/Alteration Land Alte ation <br /> PROPOSED WORK(describe in detain: rv-r��r� a- Ce>roe -�- ct�i.i <br /> � <br /> STORIES: � SQ.FEET OF EACH FLOOR: ZZC� <br /> NO. OF BEDROOMS: d GARAGE STALLS: ATT. D T. ----- <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �u' �v • <br /> I hereby apply for a building permit and I acknowledge that the information ab ve i� complete and <br /> accurate; that the work will be in conformance with the ordinances and codes f the City and with <br /> the State Building Code; that I understand this is not rmit and work is n t to start without a <br /> permit; and that the work will be in accordance ' appro ed plan. <br /> APPLICANT'S SIGNATURE: , DATE: Z 'Z'/-C/ <br /> NOTE! Parade Qf Homes events require separate perm' approval by Poli e Department and <br /> City Council 60 days prior to the event. Non permitted events will not be a lowed. <br /> 5 <br />