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Jan-29-2003 01:58pm From-CITY OF ORONO `j +9522494616 T-837 P.006/001 F-177 <br /> Totai Fee: $ ����C� -\� �� � �C? <br /> � ate Received: � �� / <br /> . Entered By: � errnit#: � � <br /> , , <br /> V`\ � � ��� <br /> CYT`�Y O�' ORQNO - BUILD RNIIT APPLICATIQN <br /> All inforrnation must be submitted in full before plan review wiA be started. <br /> (plectse print all information) <br /> ------------------ <br /> THE APPLTCAN�T IS: (circle one) dWNER OR ONTRACTOR <br /> JOB SITE ADD17�.SS: 'Z5o fz�G6�Nr.� t2-�98�j ZIP: <br /> NAME OF OWNER: �"��� ►`'��h �,6•t�1,� GfLti7�'r.Pjktcf,� pgONE: (home) �y �Z(o-?.Z3� <br /> (work) <br /> MA.II.ING ADDRESS: �f� �Uh.�•ll� 11-�9/N� CITY: OnONB ZIP: <br /> CONTRACTOR �� L�ht�r�Z. Go. P�ONE:_ �52��t'-S�$2 <br /> CONTACTPERSON: J�- Tw�r�,a- MosILE/PAGER: <br /> MAILING ADDRESS: 5'�00 UnlGnr.�b bIZ �/90 CITY: �(N�- ZIP:� <br /> STATE LICENSE: #�p ���� <br /> A�iCHITECT/EIY�INEEIt: C.,Ge,�(r� Gv. PHOIVE: <br /> MA,ILING ADDR.ESS:_�6�n(sL ' CITY: �,Yp: <br /> NA1ViE: �Jr�� 'f(z�r�� REGISTRATYON#{ <br /> TYPE OF WORK: New�_ Addition Accessory Struc�re <br /> Mo've Remodel/Aiteration Land Alteration <br /> PRQPOSED WQYtfi(describe in detai�: �i�N��-�Fi F�«`( yrl�.K-��t� <br /> ST4RTES: I SQ.FEET OF EACH FLOOR: 2I Z.fi� � (�kfli <br /> NO. UF BEDROOI�IS: �_ GARAGE STALLS: ATT. _� DET. <br /> ESTIMAT�D CONST�tUCTION VALUATION(exduding land):� $�� C� �j� <br /> --�- <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accura[e; [hac the work will be in conformance with the ordinances and codes of the Ciry and with <br /> the Scatc Building Code; that I undersiand this is not a permit and work is not to start�vichout a <br /> permit; and chat che work will be in a ordance with approved plan. <br /> APPLTCANT'S SIG�NATURE: ! DATE: � �"l D?J <br /> NOTE! arad me events equire separate permit approval hy Police Depgr-tment and <br /> City Counci160 days prior to the event. Non permitted events will no1 be allowed. <br /> 5 <br />