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Nov-08-2�01 11 :27am From—CITY OF ORONO +9522494616 T-152 P.007/�08 F-904 <br /> ee: $ �:�'-� '��r Aate Received: �`�`' C I �� , <br /> Total F / � <br /> Entered By: � /�� � ' f� ''�/,� , Permit#: <br /> � ��1�—�,. � / � ,,,r <br /> CITY OF ORrON('S - B Ii�CY PFRMI� APPLICATION <br /> , <br /> All information must be submitted in full before ptan review will be started. <br /> (please print,zll inforrttation) <br /> ---------------- ) <br /> 7'HE APPLICAN'I' IS: (circle one' 0�4NER O ONTRACTOR <br /> J�B SITE ADDRESS: � ���,� ���?C��'1 i ✓i P d�� ZIP�_ �c� �� � <br /> �,; <br /> - ��5�����'��., � � � � <br /> �\ 1�V'AME OF OWNER: �� 1 C I� �I�'C'� t`�� PHOiti'E: (home) <br /> ��'� — �r (work) ��5�- y�`71�- �`>7� <br /> ti.. <br /> � MAII,�IGADDRESS: ���.��'� �l��'��-)�/�e CITY: Nc�vc.�re_ ZIP: �';:"i <br /> C4�V'TRACTOR: ( � �_ c�_, � � � �"� _ . _PHOYE:. '7� 3-�5:�S-t>C�� <br /> CONTACT PERSON: c� �c��e.r MOBII,E/YAGER: <br /> MAIT,ING ADDRESS:�3�r .:Q(cn���_,v CITY.�I.S ZYP: �S,c � 2� <br /> � STATE LICENSE: �f <br /> ARCHITECT/ENGINEER '� �` ��\��� ���PH4NE: �1S v�-C j��/ '�S`!� ) <br /> �-� - c <br /> MA�I,I�i iG ADDRESS: C;�S��� ��.�'�4T_CITY: ti� � f5 ZIP: ...>-� � <br /> NAME:_ C CL��� �,� �ct -F � -- -REGISTRA ION� <br /> TYPE OF WORK: New � Addition Accessory Strueture <br /> Move �temodel/A(teration C�_ Land Alceration <br /> PROPOSED WORK(describe in detail}; ,�� �F �`��-� C�1 P-c-! <br /> ST4RIES: ,�_ SQ• �ET pF�:ACH�'LUOR: ��� :s���� <br /> NO. OF BEDROOMS: GA12A(rE STALLS: A'TT. DET. <br /> , <br /> ESTIMATED CONSTRUCTION VA.L�U'A'l'IOIV� (excluding land): $ ��,On�� �� � <br /> T hereby apply for a building permit and I ac�iowledge that the information above is complete and <br /> accurate; chat the work will be in conformanc� wich the ordinances and codes of the Ciry and wi[h <br /> the State Building Code; chat I understand this is not a pertnit and work is not to start wirhout a <br /> permit; and that the work will be in accordaace wi[h the a p�an. <br /> APpLICANT'S SIGNATIJRE: DATE: /� g �I <br /> NOTE! parad�� orn s events require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. N��n permitted events will nnt be allowed. <br /> � <br />