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Total Fee: $ Ef"�1�� ��� Date Receive :���//�� <br /> � Ent<�red By: r` �. �//��� -� Pernut#: C� ' <br /> � i� ��''�/� � <br /> CITY OF ORONO - BUI�DING PERNIIT 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 CONTRACTOR <br /> l/ � <br /> JOB SITE A.DDRESS: ��7 5 /�'C(�/L�S�F-�- ���`�- � ZIP: S���� <br /> � �S� <br /> NAME OF OWNER:��jn�S �1SL I� PHONE: (home) y7'3�-C�3�'/ <br /> . �-, (work) �''�� �-7�' �s�`� <br /> MAILING ADDRESS: ��'7 S �D<«s�-� t '�"'`�CITY• C�c���;-.��� ZIP•s-_;3�9 <br /> CO\�'RACTOR: ��s%7�, ��xa�� PHONE: ����`D--f 3�j`�j <br /> COr�TACT PERSON: ,�--/1 MOBILE/PAGER: � �}Sa � 9�'��9��5'� p�6� <br /> NL4ILING ADDRESS: � � .L t:i�(= l,�i-�-�t�i� CITY: �Si ,Q./t.� ZIP: �J/� 7 <br /> ST�,TE LICENSE: # �J <br /> ARCHTTECT/ENGINEER: PH0�1E: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NA�I�IE: REGISTRATION## <br /> TYPE OF WORK: New Addition� Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: ���r�-�,-„ ,.,- �—✓c'�� �k��� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � � GARAGE STALLS: ATT. DET. <br /> EST�IATED CONSTRUCTION VALUATION (excluding land): $ /��E��k e�' <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 Buildin� Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work win be in ac rdance with the approved plan. <br /> APPL <br /> ICANT'S SIGNATURE: �.���" DATE: � -�� �'.� <br /> NOTE! Parade o Homes 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 /> 5 <br />