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, � � <br /> ' �.Total Fee: $ /,� ; , " Date Received: � e -,��� � <br /> Entered By: �. ��_-- Pernut#: � �S%�Z_ <br /> ���''� CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> , <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) ( OWNE�,OR CONTRACTOR <br /> --- <br /> JOB SITE ADDRESS: ��� �Q V2`�l ��'� � �� ZIP: rj�j�(�, � <br /> NAME OF OWNER: G � ��til.F �'�1�. � �1 PHONE: (home) �Jc�'�1�-�0��� <br /> MAILING ADDRESS: � � `I'U1 ' (work) I�i;.�k �ID 3 .S,�0--a'0 4�-I- <br /> "�F'c� �1 ��/1p{2.P��_ CITY: ��t� ZIP: 5 3�� <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: N�w Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: �C�,L���_�� � �,-� u,�l�1L,t,h.�- <br /> Lt.x/:�1L Lti�� 5�� �i"�� �,y��-1 �� �l 1�-�-� k3 ,�i`1 r:i,1Cc,N� 91�, C:t,�,Utx,�Lf' <br /> ��`� � � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � , (>�O <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 i accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ti� [� ' �' 1 DATE: �II r�'��!�}- <br /> NOTE! Parade o�'Homes events require separate permit approval by Police Department and <br /> Ciry Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />