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� <br /> �� � , <br /> , Toi;al Fee: $ .�; -� �'1-�. �' � Date Received: <br /> Entered By: � �, Pernut#: ������ � <br /> CITY OF ORONO - BIJII�DING 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 OR�CONTRACTOR , <br /> JOB SITE ADDRESS: � � � 1 /��3 n 7�,� f��vri ��'. ZIP: �� s;��'y <br /> NAME OF OWNER: ��.�1-�i��c�� �'�t ti��;`,% ��vT�'_� PHONE. )y��` 7�f�� <br /> • (home <br /> (work) <br /> MAILING ADDRESS: ��J l .,�'�('�! �`i�� �%�' CITY:�r"d ti.'t� ZIP: -5 3�-,�f <br /> CONTRACTOR L—vu�5 i�-��I l�-aM��.�,uC . PHONE: 4� �5 �- "�S 7! <br /> CONTACT PERSON: .:�'a R MOBILE/PAGER � �C� � �f 7 7'$ <br /> NIAILING ADDRESS: ��j� Z-L��e a. C(J _ CITY: p;.:+{-�_.Ct; ZIP: 5`S=�i � <br /> STATE LICENSE: # /�'�C <br /> ARCHIT'ECT/ENGINEER: �U i L C���,� PHONE: <br /> MAII,ING ADDRESS: CITY: ZIP: <br /> �'AME� REGISTRATION# <br /> TYPE OF WORK: New �_ Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK (describe in detain: _ �-' � �'��=) � t �E�n 1 ��j .j�'w��'� t n�c� <br /> � <br /> STORIES: �— SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTII�IATED CONSTRUCTION VALUATION (excluding land): $ /7 �� � f�y ��+ <br /> I hereby apply for a building pernait 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� ccordanc��with the approved plan. <br /> i <br /> APPLICANT'S SIGNATURE: � _ � .-... —..��"----`---_._ DATE: � " � Gj f `18 <br /> NOTE! Parade Q�'Homes events require separate permit approval by Police Deparlment and <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />