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�ay-10-2004 12:16am From-CITY OF ORONO +9511494616 T-183 P.012/036 F-246 <br /> ' ��1 �y � Date Received: ��� �75��G <br /> Tota1 Fee: $ <br /> � EnteredBy• 1�(� f`��Sc� C�(I� Permit#: Lo// �%— <br /> CITY O� ORONO - BUILDING PERMXT APPLICATION <br /> All information must be submitted in t}ull before plan review will be started. <br /> (please prirct all ir�fornzation) <br /> ---�------------------�------------------- <br /> -----------------�------ ---------- ----------------------- <br /> THE APPLYCANT YS: (circle one) OWNER O CONTRACTOR <br /> ' J4B SITE ADDRESS: 2� c� S �!����..�� � 022YP: <br /> NAME OF OWNER: S-�-4 �� Cc�1 e_w�►�1 PHONE: (home)GIS-2-�l7s- I�i� <br /> (work) <br /> MAYLTNG AnDRESS: 2.2�� C ��cwe.c� CITY: CS,2�.��v r1 2'Yp:_,,,_�, <br /> CON'I'RACTOR: � � w.�l� � �c Ev S PHONE: 2r.��C-� � 3`3 3 C°�'� <br /> CONTACT P�ItSON: MOBYI.E/PAGER: <br /> MA.ILYI�IG ADDRE.SS: L �41-u; CITY: �R��i�L ��5 5^4'?� <br /> STATE LICENSE: � L <br /> ' ARCHY'Y'ECT/ENGINEER: PflONE: <br /> M�+iII,ING ADDRESS: CITX; ZIP: <br /> N��: REGYSTRA.TION�i <br /> TYPE OF WORY�: New�_ Addition Accessory Structure <br /> Move Remodel/Alteration Y.and Alteration <br /> PROPOS�D WORK(describe in detail�: .�r.a S�H � l I .A� �s�=/�e,k <br /> , ���� � <br /> STORIES: SQ.FEET UF EACH FL40Yt: (�C'i� <br /> NO. 4F BEDR40MS: GARAGE STAY,LS: ATT. DET.� <br /> ESTIMAT'ED CONST'RUC'Y'YON VALYJAT'ION(excluding land): $ � g. o�� -- <br /> I hereby apply for a building permit and I acknowledge thaz 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 Cade; that I understand this is not a permit and work is not to start wi[hout � <br /> ' permit; and that the work will be in accordance with the approved plan. <br /> � <br /> ' �C'Q +�� vA'[�: S � 3 j -� <br /> APPLYCANT'S SIGNATURE:�,�v� q..� � <br /> I NOTE! P r�af Homes events require separate permit approval by Police D�purtment aRd <br /> Ce�y Counci! 60 days prior to the event. Non permitted events will not be allowed. <br /> 0 <br />