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� 1�tO. ��1 <br /> ^ `�ay-IB-2001 10:50am f rom-CiTY Qf ORONO +A5�F4646� <br /> f-axi P Q01/001 F-00� <br /> Tota�Fee: $ <br /> �{�g�:. Date Received:. <br /> RECt�:- .a ��� <br /> AU� ; CIT'Y�QF t?RQI�O=.g�,�Il�T�PER�$'��PLTCAZ'ION <br /> CIN OF ORON4��afor�at�oa murt b�su . �K2-�y�-y,�� <br /> -- - t�miEted-fn fuil before�an rev�ew will be started. <br /> ` (plecue-prirrt all tnforniatio�t� <br /> ����__________________..____ <br /> T��APPY.Y'CANT IS: ---------------�_.._.. �..�`...��W„- <br /> (Fircle one�. p.W1+IER�8 CONTRACTOR <br /> JOS SITE�ADDRESS: ` 8� Shcr 1�n.e � <br /> �: SS 3�1 t <br /> NA1V�QF 0'W11T�s �,,Y,ci,r � k�e 'F,,., ��, ��HO�NE; <br /> 4�e) �iSZ-�-1-11 -`�Z3� <br /> NfAII.ING AD�R�SSS; �(�k} <br /> CFPY: 2YP: <br /> ---__._.__ <br /> CONTRACF4�t: l�lc�.v �,v:ndc.w� � �pHONE: cos , <br /> CO�I'I`AC'r.PERS�I.V:- 'Q� P ' �- 2c�i�{c� <br /> �SI�.;�tPAGER: — <br /> MA�IlVG�DRE&S: - � c�i : <br /> STATE L�CEN3E: #� g,c.Z�-1S<��,� � �r'-3=r'�-c,-Z�: S t12 <br /> ARCHITECTIENG►Il�ER. FHO1�E: <br /> MAILIl�tG ADDBF.S,S: �I�'Y:� ZII': <br /> N�1V�: REGYSTA�iTI�N� , <br /> TYP�OF�W�I�K: New Addi�ion Accessc�cyc.�ture <br /> Movc Br,modellA,IceFa�ion Laa�.��raaon <br /> -r_. <br /> PRt}RQSED V�O�fdeser�ibe in-detail�: �, <br /> � <br /> STORIES: SQ.�'EET O�EA�H F'L;pQB� <br /> NO. O�'BEDROUMS: ' � CA1tAG�STA�:L�:�AT'F: • ���,. .•>_. . ., . . . . . . . . . <br /> � — <br /> ES'TIMA'1'ED-C(�N5'�'R�'FTOAF`�i4,�.�F�'PIOI�T(�luding]aa�� .$ 8'.cQcx� . c� <br /> I hereby�appty for a tiuiIiiing pernut_and I��wlcdge that the-iufotmazion a�rn,e is complete and <br /> aeeurate; thac tiie.work wiil.be in co�fonnaace.wich the ordinances and codes�the Ciry a�d with <br /> the State Buildiug Code;_that I�understandthiz is.aot a.par�it.a�yu����to start without a <br /> permic; and that rhe work�ari1L�.aa accvsd�nce-v��.the approved plau. <br /> APP�,�CAd1T'F'S SI�F�k��3RE: DAT)a,: O?� J <br /> NDY'Et.Par_ a=o Ftom �eYe�a xe�uire�separote pe�n�t a mvaT �otice 2?e arhnent and <br /> CF Council 60�ds s rior to the�event. -Non- pP � p <br /> � � �' � P�d��u-wtl�not�be atl�owcd. <br />