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Apr-17-2003 08:OOam From-CITY OF ORONO +9522494616 T-294 P.002/003 F-406 <br /> �—I l`I—Gca W,�li a�^^5 <br /> ' Total Fee: $ Date Received: c�c�-t*'��`� <br /> � Fn�ered �y: Permit#: �� � <br /> CYTY C►F ORON'O - BU�.DING PERMIT A�'PLICAT'ION <br /> All infarmation must be submitted in ttill before pian re�view will be started. <br /> (piease print all infor►nation) <br /> THE APPLYCANT YS: (circle one) �WNER O CONTRACTOR <br /> JO$ SITE ADDR�SS: 1-10-1 S S � ��C'.� r� �°t ZYp: '�S� <br /> NAME OF OWNEYt: PH41V�: (home} �l S Z-Z�-l�-�8 Z <br /> (work) <br /> MAII.YNG ADDR�SS: 1 n"1�S Z�C��CIT'Y' ChGYI G 2�': 55 3RL <br /> CONTRACTOYt: P�Y iSSCt��2 ��cter crrS pHONE: -1�3-�-f 3-G , <br /> CONTACT PE�tSqN: 13i� i- MOBILE/PA,GE�: <br /> MAIL�TG ADDRESS:� 5 t , CrTY: t r,raV�P _ZIP: s5 �q <br /> STATE LICENS�: �' ZG ZZGZ�� i3'�' <br /> ARCHITECT/EN�INEER: P�IONE: <br /> MAILri�IG ADDR�SS: CYTY: ��� <br /> NAME: REGYSTRA'Y'�ON# <br /> TYPE 4F WORI�:: New Addition Accessory Stnacture <br /> Move RemodeUAlteration�� Land Alteration <br /> PROF(3SED WO](tK{desctzbe in detai�: S w I nC� �t � <br /> STOY�IES: SQ.FEET O�'EAC�F'LOOR: <br /> � NO. OF BEDYtOaMS: CYARACE STALLS: ATT. DET. <br /> ESTIMATED CUNSTRUC'rION VALUATION(excluding land): $ �1 (o S--o G <br /> T hereby apply for a buildin�permit and I acl�owledge that the information above is complete a�l <br /> accurace; thac rhe work will be in conformance with the ardinances and codes of the City and with <br /> the State Build.ing Code; that I understand this is not a perniit and work is not to start w�thout a <br /> � permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DA'l''E: 3- <br /> NOTE! Par�d� n events require separate perntit approval by 1'olice Departmerat and <br /> City Council 60 days prror to the event. 1Von permitted events will not be allowed. <br />