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Total Fee: $ Date Received: `��°a- <br /> ' Ente�ed By: Pemnit#: 050�7 <br /> CITY OF ORONO - BUII�DING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all inforniation) <br /> ------------------------------------------------------------�----- ----------------------- ------------- <br /> THE APPLICANT IS: (circle one) �_R OR CONTRACTO M ~ <br /> C <br /> JOB SITE ADDRESS: ��`�7� �v�`�Gszc�./' �v� ZIP: �5 'J R l <br /> NAME OF OWNER: �Q�� �-�'�-�--��C PHONE: (home) 95 Z ��z �Z� o <br /> (work) <br /> MAILING ADDRESS: 3�l�—� �J:Nys�o,.1 �"� CI1'Y: f���-zq2.4 ZIP: S�3�( <br /> CONTRACTOR: �u,•; Cc:.r�����c�2.5 f��ne -��,PHONE: �I�z �{7 L 3 `I�Z <br /> CONTACTPERSON: �w�� w� ��rc���MOBILE/PAGER: 6�z �g� 3�8 <br /> MAILINGADDRESS: 7-3coS L°�,,�,�.�„zce CITY: �b�,-.r� ZIP: ss3�c.( <br /> STATE LICENSE: # 2�9�' 3 3 S <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAII.ING 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�: �t �.�oF �' ��b ��� � �-�cla <br /> STORIES: ��S SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET� <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��O�'•D� _ <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 /> � <br /> APPLICANT'S SIGNATURE:� DATE: — ��� <br /> NOTE! Parade of H^ omes 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 />