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APr-22-2003 01:24pm From-CITY OF ORONO � +9512494616 T-324 P.003/004 F-489 <br /> � _ ,� <br /> � <br /> Total Fee: $_ � r%�;, � Date Received: �� ��" � � �� <br /> Encered By: �'� Percnit#: <br /> - CITY �F URQNO - BUILDING PERMIT APPLICATYON <br /> All inform�teon must be submitted in fl�l! before plan review wili be started. <br /> (please prini all informaiion) <br /> ..__ <br /> �----, ---- �,. <br /> ---------------------__........�----------------�----------- ---r�=---------�-•�--------- ---------- <br /> 'l'HE A,PPLICANT IS: (circle one) OW1VE �_ , <br /> a.Y--. <br /> aog srrE Annx�;ss: �Z� �' S►� iuG2�C� I2C,�a��C z�: 5r�"�3� 1 <br /> NAME qF OVPN�:�t: �G�� �2� PHONE: (home)�f S Z- t-{'� - � ()� � <br /> Cr II (work) 3 - 57 ls� — � ( <br /> �an.nv��,nnx�.ss: Z 1 ���1 ��� �v��I���: % z�: 5s � ► <br /> � _ , <br /> CONTRACTOR: ,�I/2C� C 12;�I/� ��S/�������P�OlYE: ZI`�-5�,�- 7 � <br /> CONTACT PERSUN: MOBILE/PAG�: ^ � • -3 2 <br /> MAIY.YNG AriDRI� : CITY: �I ZIP: S(� <br /> STATE LICENSE: #Zc;�Z 3ZZ� <br /> q ` � 4��� <br /> ,C ;��c� u.,�s�� t'��.w�.�L�� ;I,�����Lr;�.� (i��1.S_ �f�C-fl,'�,f 5 ,� c�c�� <br /> J � <br /> ARCHIT'ECT/ENI�IlV�EIt: PHONE: <br /> MAT�.ING ADDRLSS: CTT'Y: ZTP: <br /> NAME: REGISTRATIQN# <br /> T'YPE OF WORK.: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Altecation <br /> PROPOSED WQRK(describe in detai�: � (�G��{��l� S i 011�Vl� v"�.1' e`F�S�I�'� �vd�;C�� <br /> si`���j�� (J� <br /> STORIES: Z SQ.FEET 4F EAC�T�'Y.00R: ? - �l l�(�I'L'X. I�U� ���-+'Q� j <br /> NO. OF BEDRQC)MS: ? GARAGE STALLS: AT'T. DET, 1C <br /> / � <br /> ESTIIVIATED C4NSTRUCTYON'VALUATYON(excluding land): $ ��Co, l.7��.� <br /> -T <br /> I hereby apply for a.building perrnit and I aclaiowledge that the information above is complete and <br /> accurate; that che work will be in conformance with the ordinances and codes of the City and with <br /> the State Building (,ode; ihat I understand this is not a permit and work is uot to start without a <br /> permit; and that th�: work will be in accordance with the approved plan. <br /> , <br /> APPLICANT`S SYGNATUYtE: DATE: ��Z��U� _ <br /> NOTE! 1°arade of Homes events require eparate pernut apprnval by 1'olice Depa,rtment and <br /> City Council 60 days prior to the event. Non permitted events will rtot be alYowed. <br />