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06/21/O1 11:48 FAX __ WELLINGTON WINDOW 1�001 <br /> Jun-21-2001 10:13am From-CITY OF ORONO +9622464816 T-283 P.002/003 F-568 <br /> • � � � 7� <br /> Total �ee: $ ���C� � ' ; Date Received; � ' �5�%�'� <br /> � ' "�'� Peraait#: �l D .�`��: ` <br /> i�ntered By: ,k /� , , / _� <br /> ,��`�_, .;: <br /> --,,;��, <br /> CIT� OF ORONO - B'kTILDIl�G� 1'ERMIT APP�ICA.T�ON <br /> All information xnust be submitted in full bsfoxe plan review wil�be started. <br /> ' (pdease pr�nt att i�formation) � <br /> -------�----- --_�,___-----------------------------�---_--.-----------�- ----------------����.._,- ----- . <br /> T�iE APPLICANT IS: (circle one) OWNL12 OR CONTRACTOR <br /> �OS SI�'E ADD;�.F.SS: ��o�b 5 �o ZIP: cSs��. � _ <br /> `�/� <br /> NAN]� OF OWNERI `J`�Y lv I �r `�l �.�.�Z�1� P�O�: c���> a � r�s 6� <br /> (worlt� <br /> 1�IAII�ING ADDRESS: c5��.� �� �C��'�'Y': ZIP: <br /> C4N1'RA�C'rOR: � w e� r/► � � P80�VE: ��� `�b C`t <br /> ::, CUNTA,CT PER.SON: II.E/PA. E�t: <br /> ` MAILI�'C'x ADA�SS: T CYTY: , ` Z�': <br /> STATE LICENSE: �' ;--5���� ������ <br /> , � <br /> � . , <br /> ARC�IITECTlENGIN���t: pHONE: <br /> , c�: z�: <br /> �IlvG ADri1tESS. _ ��ISTRATYQN� � � <br /> TYPE OF WO�: New Addieion Aceessory Strucnire <br /> Move� i�emv�$1/Alteration Land Alteration_____, <br /> `�,e(�v��� 1� c O <br /> P1tOFOS�n WO�(describe in detail�: 1� , � , <br /> 7 � � <br /> ��a�$: � sp.FEET�F�AC�I FLOO�t: <br /> � � <br /> NO. O� BEDROU1ViS: C�AGE STAY,Y.S: ATT. D�?T. <br /> , � <br /> �STYMATED CONSTR�JCTION�ALUATYON (e�cludfng laa.d): $ �� <br /> I hereby apply for a building perrxYit and I acknowledge rhat the iz�ormation abvv� is complete and <br /> accurate; that the work will be in eanfor�m�e with the ordinances and eodes of the Ciry and with <br /> the State Building Code; that I understand this is uot a permit �n.d work is not to start wirhout a <br /> permit; and that tY�e work wi11 be it� accordance with the appto'ved plan. <br /> , � , C DA�: 6�a� <br /> A:�PL�CANT S SIGNATURE. <br /> � NOTL�! �r events r�equi separat perm�'t approvat by Police Deparlment and <br /> � City Council 60 days prior to the event. Non,perm#ted events will r�ot be allowed. <br />