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� � <br /> Tocal Fee: � $ . ���,� I � ,_ Date Recexved: l�% :. �-; l - <br /> �Entered By: �;�z'� Permit#: _ �r;',.�C3,�� . . . _ <br /> � � ; � . <br /> � ' CIT`Y OF ORONO - BUILDING P'ERMTr�APPLICATION <br /> �- <br /> t', , �� � � . . � , , <br /> � `"� � All info�mation must be submitted in fuYl before plan review will be started. <br /> U , �� � � �. � �(please prinx alZ infornratzon) � <br /> , <br /> ��� -----------------�—�_-- ---______---_---------------- -------- ---- _� <br /> ',��E APPLICANT �S: (circle one) O��VNE�t OY2 aNTRACTOR <br /> JOB SITE ADD.RESS: o��3�J �b;n�v� cQ ZTP:. SS3� � <br /> �,� � <br /> NA.NI� OF O�R: �1 a�,•re �"�°�� C�a�r _ PHONE: ,(home)�'1'S�- ' `{Z i`���o <br /> � � � ���� (work) <br /> MAII.TNG ADDRESS:d��3 a c'J�� ���c�TTY: C���c_-� _�=`�.� <br /> CONTRACTOR: 1+� .� cx� PHONE:.,����'i35-���� <br /> CUNTACTPER,SO : ��� E MOBII.�IPAGER:� 12- SG'1� t3�� _ <br /> MAII,TNG ADDRESS: CYTY:��r�s�.� �ZYP: .�S'3 -� <br /> STAT'E LICENSE: # � �i'l <br /> ARCSiTECT/ENGINEE�t:�. � �.� ' . � . . . P`I�O1�T�: . - ... �. <br /> MA�,ING ADDRESS: C��.--- Z�' � <br /> NA.IV�: REGISTRATZON# <br /> TYPE aF 'VPORK: New A.ddition� Accessory Struc�ure <br /> Move RemodellAlteratian� Lazul Alteration <br /> PROPOSED WORK(desc�ibe in detai�: � G,.��� � Ee 1��� �''dS <br /> .nd at od �.� - �t� � <br /> (,�.w <br /> STORIES: SQ.F'EE'T OF EACIi FLOQR: ' i <br /> N4. OF BED�tOQ1V�S: � � GARAGE STALLS: ATT. DET. ��'�� <br /> '�rt� <br /> ESTNi lA,TEll CONSTRUCTION VA'LUATION (excludi�g land): $ �a �� <br /> I hereby ap�ly fo�a building permit and I acknowledge that the infozmation above is complete and <br /> accuzate; that the work will be in conforznance with the ordinat�ces and cades of the Ciry and with <br /> rhe State Buildin.g Code; that I uz�derstand this is ntot a pezxnit and work xs not to start wxthout a <br /> permit; and that the work will b in�accordance with the approved plan. � <br /> ���wESe'�' ��cSio, �7I�. <br /> ,APPLTCAN'�'S SYGNA'I'iAt�: ^ �is�s7 DA'�'E: 1fj <br /> l:+tiGv� �!?�''i�Q� <br /> 1ypTE'! Parade of�,���es events reQuire separate permit ap►proval by FoTice Aepardnent and , <br /> City Counci160 days prior to the event Non permitted events will not be allowed. <br /> 5 <br /> Z01T0 �Jdd O�Sf1�1 �710S�NNIW bb56-5E6-Z56 ZZ�60 Z00Z/80/0Z <br />