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66/1312063 09:61 12187362729 PAGE 03 <br /> Jun-13-2009 OA;34am From-CITY OF ORONO +o6P24�4818 T•ed7 P.001/002 F-419 <br /> `� <br /> Total Fe�: $ � � `� � Date R.ecctvcd: �-/3—03 <br /> Eruored By: �,",? � I�� P�erauc#: f�d6 f 2 <br /> l ,,���-� 7�3i�� <br /> CYT'!t' QF ORONO � B G PERNIIT APPLICATION <br /> All informat�ion mu8t be aubmitted in fuU beFore plan revlew w11� be started. <br /> (pleQse print al�tr}formation) <br /> -----------��.__._.__.��__.._..... ___--------�..... �_________�__��---� <br /> THE APPY,YCANT I3: (ci�cle one) OWN�R�R CONTRACTOR <br /> � I�JAu�►r�2 <br /> J08 SITE ADDR�S3: .�� ,�_:ne.D�' �� �: <br /> NAN� OF OWNER �1,�1 CS� pHONE: (home) <br /> (work) <br /> 1VlAII,iNG AbDRF:93: 5��� CITY: Z�:� <br /> CONTRACTOR: A��-N-s' PHONT: y�18-73 lo-01 a 1 lo <br /> CONTACTYERSUN: �7"oaz� �-�so� MOHILE/PA,GER: a1�8-770-u�3'� <br /> MAYI.ING A�?D�SS: I S 0 I w F;r` ��'�': 1 m�v Z�: 5 6 53 7 <br /> STATE LICENSE: � <br /> ARCI�IECT/ENI�INELR: PI�ONE: <br /> MAYLING ADD�S9: CITY: ZIP: <br /> NAME: REGLSTRATYON�l <br /> TYPE O�' WORK.: New g� �1 Addition Acoessory 3trucau+e <br /> Move 1Zemodel/Altereticm I.and Alteratioa <br /> PROPOSTD'V'V'OItK{describe in derai�: '��s�II (one� se,� 0�' �}1 ur�:nwn� <br /> iS'�2t�S�a�1 �tic� f`'�O���d le 1�-�'S <br /> STaRIFB: � SQ.FEET OF EACH FLOOR: <br /> NO. OF B�DROOMS: GARAGE 9TALL5: ATT. DET_ � <br /> E5�'IIVl,A,TED CONST�tUCTION VALUATION(excruding land�: $ 21-]�-� <br /> Y hereby apply for a buildiq�pemzit and I ac�nov�+ledge that the iaformation above is cAmplete aad <br /> �ccctuate; tha.t rhe�uork�ill be 1n confoi'maz�ce with the ordinan�es and codes of the Ciry a�d with <br /> the S�ate Building �odc; that I undcrstand ihis �s not a pertaic and wark is aot to star� without a <br /> pertnit; and rhat thn work�vill be tn a�ardan�ce with the approved plan. <br /> Ap�Y.YCANT'3 SYGNATURE: D�ATE: <br /> NOTE! Parsode o��events r�qrrire separate per�it approval 6y Police Dep�{�lme�r and <br /> City Council 60 dttys p►'ior fio th� eve�rt. Non pe�mitted events will not be aliowed. <br />