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CiTY OF ORONO � 6122494616 OS/10/99 10:31 �1 :03/08 N0:210 <br /> Total Fet: � l�l �J.�S� Date Received: ��./,�D 9 <br /> ��� � <br /> Entered By: Pec'��t A►: ,�'c- ;�.5 3 ( ���98� <br /> CITY QF O ONO - BUII�UING PERNIIT APPLICATION <br /> A]1 Iniormation must b�submltted in fu11 before plan revie�v will he started. <br /> (pl�as�prinr all��ornuuion) <br /> _____�___--__.--- _________ �___�_______________ _ M___�_�______.___ <br /> THE APPLICAI�T IS: (ctrde ont) OWNER OR NTRACT'OR <br /> ros s�� ann�ss: , /� o �,��-������ z�: .5��� <br /> NAME OF OWNER: ,G�.=����' /��i°'r'� PHONE: (home) �/�.��,�.� <br /> (work) <br /> MAII.TNG A.DDRFSS: /�/�� i�� ; /�a` ���CTi'I': Dr�ah� Zg': ._ .� � <br /> Ct)N'I"RACTOR:� , , PHONE: ,�?/—.ti��R _ <br /> C4NTACT P�YrSON: , " OBIi.E/PAGER: <br /> MAII.17�'G ADD�SS:,,2�/�9.�/:� ,s s/�,9CIT'Y: /J�i�,r�%i sZIP':�;��y7.�,� <br /> STATE LICENSE: N�q�/�r�?'sl�_ . <br /> ARCHITEC�'lENGINEER: PHONE: <br /> NIAII.ING ADDRESS: CI'TY: ZIP: <br /> NAME: REGIS'TRATYO�I# <br /> TYPE OF WORK: New Additioa� Accessory Structure <br /> Move RemadellAtteration I.and Alteration <br /> PROPOSED WORK(descr�be in detat�� 7��� �'� -�,�'��i'a�� — <br /> STQRY�S: � SQ.FEET OF EACH�'L.UOR: <br /> NO. OF BEDR�Q�iS: GARAGE STALLS: ATT. DET. <br /> FST11�iATED CONSTRUCTION VALUATION(exclud�ng�and?: � ��J� _ <br /> I hereby agply for a building permit and I acknowledge that the information above is complete and <br /> accurau; that the work will be in nfocmar�ce with the ordinanccs and codes of the Ciry and with <br /> the State Building Code; that I u erstaad this is twt a e ' and work is not co starc withaut a <br /> permit; �ad that the work wilt ac ��wl� ed plan. <br /> APPLxCANr'S SIGNATtT1tE: DATE: 1-1-��� <br /> NOTEI P�f�� svsn�s reQulre s�paratt permtt approval by Police Depar�m��rt and <br /> C�ty Couneil 60 days prior to tha svent. Non prrmined evtnts wtJl not br aliowtd. <br />