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, � <br /> Total Fee: $ �-�� d �Ss Date Received: �-j- �-j =-� <br /> Entered By: � Pernut#: �� ,�S�'�� <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATIOleT <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 /> �. __—_,..,. - <br /> JOB SITE ADDRESS: ��O l ,�oma L,., �� ZIP• SJ 3( � <br /> NAME OF OWNER: L�Uc�►�� S� �� v� PHONE: (home) lo/2-SZ/-/rP Z� <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: Qu z l, ���, ��s e,-n Q-�f GtJa-��r pr,g�i �S'1- �7 6-/(�O � <br /> CONTACT PERSON: `�; c�'c (2 z� �(-�� MOBILE/PA Elf. !�/2-7 S�'7--�f�!'�d <br /> MAILING ADDRESS: 7�'p �.-Or�,,•;o �rc�.?���Y: Gt��-,-�-o-� ZIP: $�3 r'/ <br /> STATE LICENSE: # �tJ�q- <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�����:� L<.��-�r ���_��' <br /> STORIES: �_ SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �, � <br /> :-----_ <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: I `1'/� Z <br /> NOTE! Parade of 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 />