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w�` <br /> Total Fee: $��j, _� Date Received: <br /> Entered By: �'� Permit#: /�-^ ��� � <br /> CITY OF ORONO - BUILDING PERIVIIT 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 ° ���+`"�'� �vre��-ZIP: <br /> NAME OF OWNER:��'�4'ah � Y��'"� `�-����'`� PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> corrrxacTOR:�a.w��vs� ;����,��rs PHONE: �3 3��3��1 <br /> CONTACT PERSON: � � o��^ MOBILE/PAGER: .�j�(a— � <br /> MAILING ADDRESS: p CITY: �o�O�v� a � ZIP:� <br /> STATE LICENSE: # �, $a <br /> ARCHITECT/ENGINEER: �+ PHOi�1E: <br /> MAILING 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 detain: ��'� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIlVIATED CONSTRUCTION VALUATION (excluding land): $ ��''� ��'� <br /> I hereby apply for a building 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 /> pernut; and that the work will be in accordance with the approved plan. <br /> ' SIGNATURE: f DATE: Ill ��� � <br /> APrLICANT S <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 />