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CiTY aF ORONO � 6124730510 09/10/96 12:23 � :09/25 N0:2y� <br /> Total Fee: $� .�-'�`I��, Aate Reccivcd: ���;�i��- . � <br /> Enured By: �,i _ Pcrmit!l: ';5�_'>'j�� <br /> CITY OF QRONU - BiT�LUING PERMIT APFLICATION ,I <br /> � <br /> A11 fnformation must be submitted in fall before plan rev�ew wil1 be started. � <br /> (please�rfnt al[ infvrmation) N ` <br /> _________________________________...------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JUB SITE ADDRESS: �3 3� �rt,4 t�a�oc�� _ �R.�. ZIP: ' �`.' 3�C� II <br /> .T,_... G�R c>�o <br /> 1'��'Ik: OF OWN�R:��i E��� .� K�-rr-ry 5��+�,�s;c.;.� PHUNE: (home) �k�� - ��0-7 <br /> ` <br /> ���� .'r'ci h1 C=w `'2c•C`E�Ty �tPalL-�5�� -�� f Oc.i i O 1=F i GC�work) ��75�- � ��,�, �JT�-I��> <br /> 1� rt o�O,�C:> .�n�i` '7"rr�2 E Fo� T rt G.�.�. <br /> MA,ILING AD�RESS: ��'�S Srt�t7oy�looDP�CTTY: o,�o_ N c� ZIP: 5���. ��� <br /> 4�1 :3 - 330 � n��•"� ��NE <br /> c c� so t� Co�s; PI�ONE: � _a� �� aAti o�: <br /> CON'TRACTOR: R� ��� • _ D�Q ECT D�A l.. <br /> CONTACT PERSON: �N o �-�t� MdBIL�/PAGER: �'`'� ' A`'�'�: �S�_ '8 4 8 <br /> � l� vE>HNSn�1 TRµeic Pric�v-� 2io 9Cc5c> <br /> MAILING ADDItESS: t�.o. 6aX 18 8 .CITY: L n r���--ro ZIP:, � 5 3`�-7 <br /> STA'I'E LICENSE: � U�� r a 5� <br /> ARCHITE NGINEFR:�o �t,� �rZQ o c-�� �PHaNE: S�3 -- ��7G <br /> MAILING ADDRESS: :313► Fr.R�J srzce�!-��`�a�CITY: t��Y+�c�-�rH ZIP: 5544 1 <br /> NAM�: (�K,�.,��.��'�.�N�,,v�-i r� �_ REGYSTRATION 1� <br /> TYPE OF WURK: New � Additian __ Acr.essc�ry Swcture <br /> Move R�modcl/Alteration Land Aluratio�a <br /> PROPUSED WORK (describe in detail}: NEw Co,�STQ��c-��a � ' z ���=�-._.�,..._H�'~�=..>�--, �``"- <br /> �`��u.T, i�T7'ACf�E{7 �aA,�ac�E;_ /S Ho P h��A R DE�'-K 5t-Pr�C' Sy STEnti s- v�l C�--�—. <br /> -- �j�s-r �=t�a iz � I 4¢8 T� , <br /> STORIES: �? ___.... SQ. FEET OF�ACH�'LOQR: 2"':' ��t��,e. _ �4 a�d , <br /> NO. (.�F BF.DRUOMS: :� GARAGE STALLS: ATT. �,_ DET. <br /> ESTIMATED CONSTRUCTION VA�,i�ATION {cxcfuding land): � �� oo.� • aa <br /> I hereby apply for a building permit and I acknowledge that the information abave is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> ttxe Sta�c Huiiding Cc�de; that I understand this is not a permit and work is not to start without a <br /> permit; �nd ihat thc work will he in ac rdance with th ved plan. <br /> APPLICANT'S SIGNATi3R�::X " _ : . �j � ��' - `�� <br /> NpTE! par�dg qf es events requ�re separate permit approval by Police Department and <br /> GYty Counci160 days pr�or to the �vent. Nan perm�tted events w�dl not be adlawed. <br /> 9 <br />