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� � �.�-� �"� y <br /> ' Total Fee: $ Date Received: <br /> Entered By: � Pernut#: � L I 7 �j�' <br /> `7T <br /> , <br /> ,� <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 /> JOB SITE ADDRESS: � `7'��d /�Ole� �'"��- �ZIP: <br /> 1� / <br /> NAME OF OWNER: �(�-L.Sc:��— PHONE: (home) <br /> (wark) <br /> MAILING ADDRESS: ��--v►-�2._ CITY: ZIP: <br /> CONTR�ICTOR: � Z �l�n-S ., PHONE: �`�3—�� <br /> CONTA�T PERSON: L MOBILE/PAGER: �`7—`�' �'�3 <br /> MAILI\GADDRESS:,� �C.��x�l1�.t..C�-P CITY: /,./�. ZIP: ��3�� <br /> STATE LICENSE: # ����/�"' � <br /> ARCHITECT/ENGINEER: ��'�'y��— PHONE: <br /> MAILI:�1G 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: ���� La� � �� � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> � <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /��� <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 /> permit; and that the work will be in acco dance with the approved plan. <br /> APPLICANT'S SIGNATURE: "' � — DATE: ��Ul� �� <br /> NOTE! Parade of Homes events require separate permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />