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' Total Fee: $ s� 2 �.� Date Received: l � /J j c>L <br /> Entered By: Permit#: � �, � ����� <br /> /1��� /��.. <br /> CITY OF ORONO - BUII�DING 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 /> 35 <br /> JOB SITE ADDRESS: �! �� �-��i� ►9 U�. ZIP: �5 �� � <br /> NAME OF OWNER: S���� n���e 2 PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: �3�3 W 2i c A u� CITI':��c��ct ZIP:S 3<'1 <br /> �,z-.�.�;�- �y a� <br /> CONTRACTOR: `���.-�h�es� cE;,.z�_uc���n) PFIOivE: ���---��,�-- O��', <br /> CONTACT PERSON: {�H�y Sc_�,„va i� MOBILE/PAGER: �i z� �`��- Li:��� <br /> MAILINGADDRESS: �w� � ��6�^'�Aus : �;, �:. CITY: t��..tr�,-� ZIP:�S 3�g� <br /> STATE LICENSE: � �o��t��3�; <br /> ARCHIT`ECT/ENGINEER: PFiO1�TE: <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�: i�a�, �� �y x i 3 r�2.c.iL. � <br /> �.-�Cvc M� �C tirv�c7 C_,i.�.`L''tS�.n�� �o,i�. [j .'�L ti'r'\(� r �. '��i °7 y� � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ��:�U � <br /> I hereby apply for a building pernut 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 pernut 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: - '� d'�� � I(�— 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 />