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Total Fee: $ l ��/. �� Date Received: <br /> Entered By: � Pernut#: ,'�'C�c-� <br /> CITY OF ORONO - BiTII..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 /> JOB SITE ADDRESS: " ' � L� � � � ; �. ��ZIP: <br /> NAME OF OWNER: � � � v n, � PHONE: (home) J��c� �� <br /> 1�� ,� �. �t v ��.., �1;� (work) ('� �o�'� � .%T <br /> MAILING ADDRESS: ,�t l�. � �.� , / CITY: 5�-� �J<-�L, �f ZIP: �� '�� > �" <br /> CONTRACTOR: � 4 -� �v �t� ,-� PHONE: � ?� — v � �/.� <br /> CONTACT PERSON: .3�� --�-� � {� .�_ 1`+'IOBILE/PAGER: � 7 0 _ �, �. �� <br /> MAILING ADDRESS: /1- �// � �/�_/.�r �'Iz�ITY:--� �. �l,. ,�ZIP: S'L.3 � c <br /> STATE LICENSE: # b�S� � <br /> ARCHITECT/ENGINEER: ,/C�� ^ --� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New _� Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> � <br /> PROPOSED WORK(describe in detainr• �t � ,ti. ��- 'i�-�... �A <br /> � ! � <br /> STORIES: ��� SQ. FEET OF EACH FLOOR: � /� <br /> NO. OF BEDROOMS: �_ GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /:,1- �� <�"'�, � ; <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 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: j��� fj�� <br /> ; <br /> NOTE! Parade of Homes eve s 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 /> 9 <br />