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r • <br /> Total Fee: $ �-> �� °�'r Date Received: ��� �f p c� <br /> Entered By: ��, Perniit#: �� c: �� _r:;,�� <br /> CITY OF ORONO - BUII..DPtG PERMIT 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 O CONTRACTO�, <br /> JOB SITE ADDRESS: / c'� �v�� ����+ e U� �"�'�� ZIP: �3S�'� <br /> NAME OF OWNER: G.r�_��� �,'� I�a s•s��.�, PHONE: �no�e>��a-�a�s <br /> (work) 9-�� - � 6 �s- c ra,� <br /> MAILING ADDRESS: ,s���e CITY: ZIP: <br /> CONTRACTOR � r� ��-.� �-.�.�s' �v�, PHONE: y ��6- �' � 7 Li'. <br /> C0�ITACT PERSON: ✓�U� �'�r-e e��r MOBILE/PAGER: � v /—� 7 6 / <br /> MAILING ADDRESS: asz>s- �����,°� ,� �r�, �' CITY: L���G 4�/�� ZIP: s3-- 3�� <br /> STATE LICENSE: # �as-� <br /> ARCHITECT/ENGINEER: �/�� PHONE: <br /> �IAILIl�'G ADDRESS: CITY: ZIP: <br /> rJAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration � Land Alteration <br /> PROPOSED WORK(describe in detai�: -�,L, ,3 � ��<�� �eiz � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF B�DROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��, E U�v <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 /> pernut; and that the work will be in accordance with the approved plan. <br /> , <br /> � <br /> APPLICANT'S SIGNATURE: a-.-, DATE: �'�2 � �'� <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 />