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, �. <br /> .' `` <br /> Total Fee: $ �(���`�` Date Received: ��/S ���j _ <br /> Entered By: Pernut#: J � gs.Sr <br /> CITY OF ORONO - BUII..DING PERNIIT APPLICATION <br /> All information must be submitted in full hefore plan review will be started. <br /> (please print all information) � <br /> ---------------------------------------------------------------------------------------------------=--------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> C3 2��Q/t� <br /> JOB SITE ADDRESS: I���p /1/, �YyJ �, ZIP: <br /> NAME OF OWNER: ��/���,��,�- 0��'o��9 PHONE: (home) L,t 7/-/G oZ�' <br /> S s N , m (work) <br /> MAILING ADDRESS: l i�'1 d�i�q"/ D� • CITY: ZIP: S3� <br /> � <br /> CONTRACTOR: 1�o m.e d w>v n..2 PH4NE: . <br /> .. ...__.. <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAII.ING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHI'I'ECT/ENGINEER: PHONE: <br /> MAII.ING 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�: <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET: <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <br /> I hereby apply for a building pemut 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 /> / � <br /> APPLICANT'S SIGNATURE: ���d� DATE: u l� <br /> � � <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 />