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� �. <br /> Total Fee: $ � � y 7 f _ ^ Date Received: �f���� <br /> Entered By: Pernut#: �p�y� <br /> CITY OF ORONO - BUILDING PERNIIT 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 �R CONTRACTOR <br /> JOB SITE ADDRESS: .�O� � 6 OIrf�Iu ZIP: j 5 -�� / <br /> NAi� OF OWNER: 1� � � PHONE: (home) G <� - �-{75- d-�11� <br /> (wark) e !1-- _�`'i`� 1 lf-f -� <br /> MAILING ADDRESS: � d� (� �� � CITY: ZIP: 5'S 3�� � <br /> CONTRACTOR: � �fl lY �.�( (/ U � � L-J C 1� PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: �� �.� I� G'��S W�L-l� PHONE: �13 crS " y ��7 S` <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: N�w Addition_� Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: � I a � 1 S �� �� <br /> � � � �.:.' n / �.y-- iC�/`- �v��`-'c4 <br /> STORIES: �_ SQ. FEET OF EACH FLOOR: i �� � <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � S , �� <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 permit and work is not to start without a <br /> pernut: and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: �e� , DATE: � ' � I• � � <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 />