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, _. . <br /> , � <br /> . Total Fee: $ ,'�'�� � `L Date Received: ��� � � � <br /> �! I �,�,�` ( , � �-'-� Pernut#: �� 2 �, O� <br /> Entered By: ���* � <br /> �-., �7 � <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 OR CONTRACTOR <br /> f <br /> JOB SITE ADDRESS: ��j��-�,-ff�S`�,� ,�/'��� ZIP: <br /> NAI�iE OF OWNER: �y�i„� � i ��C � I PHONE: (home) R S�-�1��- Q'�r�� <br /> (work) <br /> MAILING ADDRESS: e2(j 55 ./�i��r f-� s�rt�r CITY: �� ✓�4 � ZIP: <br /> �rs'-�-y�71~os3 Z <br /> CO\�'RACTOR: �z „��err PHONE: �l�-,2S0�7�1��� <br /> COr-T'ACTPERSON: ;�Q� MOBILE/PAGER: <br /> NI.AII,ING ADDRESS: _4�l 1� ��z�rz l� d..e CITY:�����r l�-7IP: S� k <br /> ST�iTE LICENSE: # j�G� � <br /> ARCHI'I'ECT/ENGINEER: PHOi�TE: <br /> MAII.ING ADDRESS: 7" �2 L CITY: ZIP: <br /> N�il IE: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration� Land Alteration <br /> PROPOSED WORK(describe in detain: � ' � 1�e. � / <br /> � �-�C C r` C <br /> STORIES: �_ SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOviS: � � GARAGE STALLS: ATT. DET. <br /> � <br /> EST�IATED CONSTRUCTION VALUATION (excluding land): � � <br /> I hereby apply for a buildin�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 Buildin� Code; that I understand this is not a permit and work is not to start without a <br /> perm.it; and that the work wiR be in acco with app ved plan. <br /> APPLICANT'S SIGNATURE: ` DATE: ,.Z �Z ��3 <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> Cily Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />