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CITY OF ORONO � 6124730510 11/20/97 12:36 �1 :02/03 N0:881 <br /> . � <br /> '�'otal Fee: $ Date Received: <br /> Entered $y: Permit#: <br /> CITY OF ORONO - BUIIIDING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------•------------------------------------------------------------------ <br /> � THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: �'�gS SJX'T� �Y�. /tJ• ZIP: Ss3SCp <br /> '�r��� <br /> NAME OF 9�R: M ���� PHONE: (home) �' <br /> (work) y7/- DS�Q <br /> �.nvG a.Dnx�.ss: 2�v s�+�ywar� crrY: �ce. , z�: 5533/- 9s�S <br /> CONTRACTOR: X Cr: L: CC-•r rn a-�--r;�v�,�, �ti��G. PHONE: X 5�7�- %S�j <br /> CONTACTPERSON: �C C[./FF ,C'.�-z-f� MOBILE/PAGER:x <br /> MAILING ADDRESS:x �3�a !�,'i�..�ow ��.'� CI'TY: x f'1'JE.�iiv� ZIP: X j S3�fo <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEE�R: C/��C� �SSO�. PHONE: X ��9 �Z ��1 <br /> MAII.ING ADDRESS: k/�ao �iQN��L �.ec�'it Ci7',CI'f'Y: �r���+F+�.� ���+�N ZIP: +c s-s 3s`1 <br /> NAME: X G'L�c N .4_ -SA�uv��t,� REGTSTR.ATION# -- <br /> TYPE OF WORK: New Addition Accessory Struciure <br /> Move _ Remodel/Alteration Land Alteration __�___ <br /> PROPOSED WORK{describe in detai�: <br /> S 7"�l2/�L e�vi4'f�-'� j°ON.� CON S G?�70 <br /> STORIES: SQ. FEET OF EACH FI.00R: <br /> 1�t0. OF BEDROOMS; GARAGE STALLS: ATT. DET. <br /> ESTiMAT'ED CONSTR.IICTION VALUATION (excluding land): $� <br /> I he�eby apply for a building peruut and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the Ciry and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> pernut; and that the work will be in accordance with the approved plan. <br /> APPLICANT"S SIGNATURE: �C �,.- l�i� �'�%DATE: �C /�.�/�/r7 <br /> NOTE! Para �Ham�s events require separate permit approval by Police Department and <br /> City Counc�l 60 days priar to the event. Non permftted events will not be allvwed. <br /> 5 <br />