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;7/28/2000 08:42 FAX 612 471 7685 FRESHWATER 1�02 <br /> � . <br /> t- <br /> �� •=�2��<� • �'.%' <br /> � Total Fee: $-�.� Date Received: <br /> Entered 8y: � .�N'1 . Permit�: <br /> � � <br /> 7 �'C�, <br /> OF ORONO - B�DING P�RMIT APPLYCATION <br /> 2'����1, <br /> All ' ormation must be submitted in full before plan review will be started. <br /> (please print all information) <br /> Z'I� APPL CANr IS: (ci�cle one) 0 R CONTRACTOR <br /> JO$ SITE DRESS: �Sd� S�{ Iq�l�f � V�L ZIP: S� 33 1 <br /> NAME OF WNER: �PS{�w� Soc:C PHONE: (ge�e) g5�--W 7 -9 7 7 3 <br /> (Work')Ftyx �sy- 4`I l -7�� <br /> MA11•ING DRESS: �, � S A ��t��q CITY:/U�AtI�QL�� ZIP:��� <br /> corrrR.A oR: � � �orrE: �5'a- 4 7 � - �r � 7 3 � <br /> CONTACT PERSON:'T� �1 11�OBILE/PAGER: <br /> MAII.ING� DRESS: • S t�, K Crr'Y: �u�r��,e2� �: SS3 3� <br /> STATE LI ENSE: # <br /> -� SuDoli�e� 6�u�A'r"'�1 <br /> ARCHYTE T NGINEE • S!►�p L c Y PHONE: 9� �I � ' CQ 9 7 C� <br /> NiAII.,ING DRESS: �S eLl `1$'� _ CITY: '��.je N t� ZIP: 5S4�-� <br /> NAME: Y2EGISTRATION# <br /> '� <br /> TYPE OF O�: New Addition Accessory Structure <br /> Move RemodeUAl�eradon Land Alteration <br /> .� w�� bt a...y.;�►� a� �.,-�.�s ��o�.� ���.b�+� . <br /> YROFOSE WORK(descrrbe in deta�n: C��1� r`N o I a-o l7e <br /> -e <br /> STORIES: _�! SQ. FEET OF EACH FLOOR: �5 0 o O� <br /> NO. OF B DROOMS: —� GARAGE STALLS: ATT. DET. -� <br /> ES'1�IlViA CONSTRUCTION VALUATION (excluding land): $� � 3 O ��� <br /> Y hereby ap ly for a building permit and I acl�owledge that the information above is complete a.nd <br /> accurate; t the work will be in conformance with the ordinances and codes of the City and with <br /> the Srace B ilding Code; tha't I understand this is not a pemut and work is not w start withou[ a <br /> permit; an chat the work will be in ac ordance with ih approved p1an. � � <br /> APPLIC 'S SIG�NATURE: DATE: 7 a� p <br /> NOTE! events require separate permit approval by Pod�ce�Department and <br /> City Coun 'l 60 days prior to the event. Non permitted events will not be allowed. <br /> ��C�C�-� - � �%s"��v y'J.�.Q �� <br />