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Jun-20 f005 08:35am From-CITY OF ORONO +9522494616 T-167 P.001/002 F-711 <br /> Total F�e: S � � �� ���� bate Received: �'��� 3 ' <br /> Entered BY: _ Permit#: � <br /> . --,����� <br /> �u�,:�; �-�„���- <br /> CITY OF ORONO - BUILDING FERMYT APPI.,YCATION <br /> AIl information must be submitted in fulY before plau review�vill be started. <br /> (please pri�et all�nformation) <br /> THE APPT.TCAN'T IS: {c�rcle one) O'VVNER O ONTRACTOR �yY ^M^y <br /> JOB SITE ADDRESS: OG � �O ����"v ��� ��T ZIp; <br /> Will thrs be a Parade of T�omes, Remadelers S6owcase �Iome or ot�er Display XYome? <br /> [J Yes � No If yes, a special evena permit is reguired with Police Department and City <br /> Council approval 60 days przor to the event. Non permitted events will riot <br /> be aldowed. <br /> NA1V�� OF OVVN'E�2: � I��e �' !�'l,..(�.r'�� �OL��PI� PHONE: (home) <br /> (work) <br /> NIAILING ADDRESS: CYTY: ZYp; <br /> CONTY2ACTOR: ���'���O���V%�e,vf�iuG. <br /> PHONE: SZ" y7 -Z,� <br /> C0�ITACT P�RSON: O,BYLE/PAGER: /Z 7 <br /> �AII.YNG AUDRESS:,�3SY W fG& . ��CTTY: L t ZYP: ��� <br /> STATE T,YCEN5E: # <br /> AYtCHYTECTIENGINEER: � PHON'E: <br /> MAILING ADDRESS: CITY; ZYP: <br /> N��� REGISTRATION## <br /> TYPE OF WORK: New Accessory Structure <br /> Adt�ition Move <br /> emodeUAIterat2on Land Alteration <br /> PROPOS D WQRK(descri e in deta��: � tG Q� � flr Q N,l�[e <br /> G /' �i�Jr B DO/' N <br /> STO�tT� I�,���G��SQ. �'EET OF EACH k'L,Q0Y2: l DD <br /> NO. OF BEDRO�MS: � GAY2.A.GE STALLS: ATT.� D�T. <br /> ESTIIVIATED CONS'X'R,�JCTION VALUAT�ON' (excluding land): $ � ��, � <br /> I hereby apply for a building pemnt and I aclrnowledge that the information�hove is complete and accurate;that the <br /> work will be in confvm�ance with the ordinances and cod�s of the City and with the State Building Code; thas I <br /> understand this is not a permit and work is not to StaTt wiihout a permit; and that the t-vork will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SICNATY7RE: DATE: � Z� OS <br />