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� <br /> �Total Fee: $ 1 ,� J � � � � Date Received: - ��'G-`' <br /> �n � <br /> Entered By: �; <--- Pernut#: -+�, CL� <br /> L�vyJ�j �r�`�/2%'1� <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 information) � <br /> ------------------------------------------------------ <br /> --------------------_�----�-------------------------- <br /> THE APPLICANT IS: (circle one) OWNER CONTRACTOR <br /> �_________ <br /> JOB SI'I'E ADDRESS: ��. �C��- � �-� ��, �,� ZIP: <br /> NAI�iE OF OWNER: ��^, ('� �C� t, l S Q� PHONE: (home) <br /> n I (work) <br /> MAILING ADDRESS:-��d s' ��p(� K� dy,� cTCITY: �rd n� ZIP: <br /> CO\'TRACTOR: S S�0 C�c�.�E'( PHON���� -�`{�-S ?y� �'� ��� <br /> COr'TACT PERSON: S cv G ; 1VIOBILE/PAGER�� IZ - - � � <br /> M.AILING ADDRESS: � �3(� 1'''1 �n•�,e.-�-��t �( �l..0 d CITY:�.P��4 cJev� ZIP: �5 S 3 �� <br /> ST�iT'E LICENSE: # ( � n <br /> ARCHITECTlENGINEER:C:�c/� �,e S`t'i � TO•-� PHONE:��S-�, �I 7�� �S � 3 <br /> MAII..ING ADDRESS: �b 3�� M-�-�e l� �Z,,c�CITY: �.e �c�..� ZIP: s r 3 q� <br /> N���; REGISTRAT ON# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: , c.�� nn .��.; �• � �1 - ���'� + <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> I�TO. OF BEDR00�1S: � GARAGE STALLS: ATT. DET. <br /> ESTLI-IATED CONSTRUCTION VALUATION (excluding land): $ 7�C�cl'�. ��' <br /> I hereby apply for a buildin� 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 wi1I be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: - ,r►.s-- DATE: � � � � <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 /> 5 <br />