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, GITY OF ORONO � 6122494616 08/31/�I 10:23 � :01/03 N0:429 <br /> � � <br /> Total Pe:e: $ . `°`� Dat+e Received; <br /> Bntcar�Sy: Yerrsn#t#: I 9��'—. <br /> _-.�...- <br /> ��o� o�ao�vo - B�L��TG �RMIT APPLICA'TION <br /> AIt�f'orq�at�on must b►e submitted in i"uU before p1a�n review wtll b�ata�rtted. <br /> (ptease prinr adt��{�rirmation) <br /> ,.___....___.�__�.__r.._ . .,..w_�....�___._._.___.._..___._�__�----a------- --....______W______�_------- <br /> � AP'�'T.ICAiV'i' �S; (c�rcte ont) OWNEIt Q CONTRACTOR <br /> ,�c�� srr� �►n�ss: —Sha , zrp: ��53 9/__,�. <br /> Oro o, <br /> �v� c��c�wr�t: � �-_ -��sorrE: tr��> �I a-�'�/�Dllo� <br /> (wurk) <br /> 1VIAIL,Yi1TG AADR�SS: ��!�$,�L��C3'�'Ys t�C Qn a-mn! �:�' �9/ <br /> CO�i'i'RACT(�it: , 1�y1 i n��J �..� �-e- PHONE: ��!5 a��.�',7 <br /> �ONTkCT PEF�50Nt -r, l i��,, ,K. , MO�.EJPACEIt: 39 t- S� i� <br /> 11�AI�.�IIYC�►A�DDR�RS: $.'�,�' `��. _��_ o. CITY: oo�IC! Pan�7�IP:,��s' <br /> STA�TE L�CENS�: A��Q�g � S�. l�'1 <br /> A'�C�T/ENGIN�ER: �ON�: <br /> 11�AILII�G ADDRESS: CX'TY: Z�": <br /> Nl�ME: REGI5TRA'�'�C1N A� <br /> � <br /> TYP�UF WbRK: New Addition Ac.cxRsory S�'e <br /> Mov� Remodei/Alteratioa Latul Altaration --- - <br /> P°ROPOSE3�1 wO�(de�crtbe�rt derai�= `rx�txaS <br /> 9TQRTES: � SQ.F�ET 4�'EACH FZ.AOR: <br /> 1Vd. �F B�D�A�I�i$: GA�At��STALI.3: ATT. DET. <br /> , _�._.� .�.._...�. ..�. <br /> �nv��n co�v�vc�rox vai.vA�or� c��a���a�: � 1�f ADD- °� _ <br /> �tureby agp[y for a building pexnait and I ack�aw�adge that thc�aformadon atyove is completc and <br /> accuratc; thac tt�e work wsii be in cvn�armance w�th the ardinanc:es �nd codes of thc City aAd with <br /> the StAte Buiiding Cad�; t6�at I umlcrstand thls i�nat a permit and wGrk is not to atart withaut a <br /> permit; and thst the work will be fn �ccardan�c witb the approvad plap. <br /> APPLICANT'S S�GNA : , � ��I,a�l�c. I)ATEs q- I�-�,� <br /> 11�07'Ll �',�dv�'.�1p11� ever�ts reqr�r� se,par�a�te ptrr�it approval by Pol�ce I�►eparhnant a�d <br /> GYty Cowtctl 60 dayx prrtar to the evsRt. Nany�srrreiu�d eysnts wtll nat be aliowed. <br /> . 5 <br />