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. Total Fee: $ Date Received: <br /> � Entered By: Pernut#: <br /> CITY OF ORONO - BiTII..DING PERNIIT APPLICATIOl� <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: lG (, �j d�'c;,�f� �,a y-.� �� ZIP: <br /> NAME OF OWNER:_ -.� �� � C'�`� r ��v�' PHONE: (home) �:5�,� '� 7`� - 2.3 y.5- <br /> (work) <br /> MAILING ADDRESS: �� �� �/t,'��!rlj ��9iP nn��ITY: dle�rv J ZIP: <br /> CONTRACTOR: �,�4 v✓1/4v� v�. Gd►ti4� ��C. PHONE: ��3- %y'�' �� <br /> C0�1'TACT PER50N: ��c,h„Q,,,�, �../�,�n,� �.,,�, MOBILE/PAGER: <br /> � CITY• �cGvSz-e / ZIP: S- � 7� <br /> MAILING ADDRESS: '3 i�� S. /YI A�r� 5 • ,��_ . �— <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAII�II�TG ADDRESS: CITY: Z�: <br /> rJAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: "y'�-{� �' � �0�7� <br /> � � �.��,Q�� �P,�1�� S fr�-K�. � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMA.TED CONSTRUCTION VALUATION (exclud.ing land): $ J�'� <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 /> pernut; and that the work will be in ac rdance w' the approved plan. <br /> APPLICANT'S SIGNATURE: DAT`E: ' `�_ <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 />