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. :� �Z� � �� <br /> 'l ota� Fee: $ Date Received: <br /> ' Entered By: ;�, �� Pernut#: S(�_�� <br /> CITY OF ORONO - BUII�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: '��Z Z� I,l� ���z 1��'� z�:_ �5�� 1 <br /> , It <br /> NAl�iE OF OWNER: ��,Q�-�} C?�c� �,�/1��-�..(�� PHONE: (home) �7! �`����-� <br /> (work) �i I - Z L�7� <br /> MAILING ADDRESS:���Z �•���}�jJ ,L�' , CITY: ZIP: �S�� <br /> CO\'TRACTOR: C�1��-- PHOI�'E:.����- �'11 ��52 <br /> COti�T'ACT PERSON�C�,�� �;,,��-�Lv�J MOBILE/PAGER: �;,i �z ��:U ��(� <br /> M.4II�ING ADDRESS:��,� �`' �`t'-C,LfZ,�,�I�Li CITY: l��� �Rl'fi� ZIP: �`c <br /> ST�T'E LICENSE: # <br /> ARCHIT'ECT/ENGINEER: PHO�tE: <br /> NIAII.,Pi tG ADDRESS: CITY: ZIP: <br /> NA.I�iE; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration, �.� Land Alteration <br /> PROPOSED WORK(describe in detai�:�'`�x���.: <br /> STORIES: Z.- SQ. FEET OF EACH F'LOOR: � � �`�����-� <br /> 1�T0. OF BEDROOviS: GARAGE STALLS: ATT. DET. <br /> ESTL�IATED CONSTRUCTION VALUATION (excluding land): $ .`_�5�� <br /> I hereby apply for a buildin� pernut 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 wiII be in ccor anc e approved plan. <br /> APPLICANT'S SIGNATURE: �' � DATE: � �� ��/ <br /> NOTE! Parade o Homes vents require separate permit approval by Police Department and <br /> Ciry Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />