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Sea—�6�20u1 1C:'�am From—CiTY OF ORONO *9522494616 T—c:o F �o2/G�J ��J42 <br /> � t• ► <br /> Total Fee: $ Date Received: / <br /> Entered By: Permit#: 1�6 <br /> CYT'Y OF O1tON0 - BUILDING pERMIT APPLICATION <br /> All information must be submitted in flill before plan review will be started. <br /> (please print all information) <br /> --------------____.._��------- --------,___--.___�..-------- ------ -------------------- <br /> THE APPLICANT YS: (circle one) OWNER OR ONTRACTOR <br /> JOB srrE annx�ss: . l `�°�0 Shadl�, v�cs� �� Z1P: 5'S 3� J <br /> Nt1Lr��. O� O♦�'l�iwL�: � be�� �vF► rAO�. ��mei) L��{� � T J�O��J <br /> (work) <br /> MAILL'�TG ADDRESS: ITY: Dron.o zIP: �-1 <br /> 1 �•50 o�rort..t�4 P�tm ¢d S5 3�4� <br /> , <br /> CONTRACTOR �t'z�' ����`( PHONE: �2-�2 I - S�3� <br /> CONTACT PERSON: jLr�. Co l e�•l� MOBILE/PAGER: Co1 L-�'-t�o-zy,0 9 <br /> MAY7.IlVG ADDRESS: '7 0 o C,�s�,t l,¢.. �,�. CITY: M.a l S Z�: Ss o �t <br /> STATE LICENSE: # �G �� �9 8S� <br /> � � �2 - 3z1 - ���9 <br /> ARCHY'TECT/ENGINEER: P�YONE: <br /> MAILING ADnRESS: CITY: ZIP: <br /> NAME: R�CLSTRATIOh# <br /> TYPE OF 'V1�ORK: New Addicion Accessory Structure <br /> Move , RemodeUAlceration� Land Alceration <br /> P�tOPOSED WORK(describe in detai�: ���'��F 'Q.�"(1-a'4� Q.eSI��3T►2�- W�'� <br /> STORLES: SQ. FEET O�'I:ACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUAT'ION (excluding land): $ gI 8S � <br /> I hereby apply for a building permit and I ackr�owledge that the information above is complete and <br /> accura[e; chat rhe work will be in conformance with the ordinances and codes of rhe Ciry and wich <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in ccordance with the approved plan. <br /> APPLICANT'S SICYNATURE: '�i���' DATE: � `� �''�I <br /> NOTE! Pnrade q�'Hnnees events �equi�e separate permit approval by Police Depamnent and <br /> City Counci160 days prio�to the event. Non perneitted events will not be allowed. <br />