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. <br /> . <br /> � Total Fee: $ �,�s�• `-�� Date Received: <br /> Entered By: G� Pernut#: / �rJ 7� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNE R CONTRACTOR <br /> JOB SITE ADDRESS: �l C� No/r�i�ARµ �R ZIP: <br /> NAME OF OWNER: �(,a�1 ('��fts�� PHONE: (home) y 7,S-3 9s 7 <br /> (work) 9�/'3-/S/9 <br /> MAILING ADDRESS: �7/o /�orr��iAnn.� 1�2 CITY: (�Ra,,,,� ZIP: ,5' (� <br /> CONTRACTOR: c�wy�„� PHONE: <br /> CONTACT PERSON: MOBII.E/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <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�: <br /> STORIES: Z SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATT. DET. 2 <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $_�7.�tra %S��o�. <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 /> cE'� • ,2 �- cj � <br /> APPLICANT'S SIGNATURE: � o ` �..� DATE: � � � aD -=. <br /> � - ---- <br /> NOTE! Parade qf Homes events require separate permit approval by olace � �e� <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />