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C�TY OF ORONO � 6124730510 05/28/96 10:52 � :10/25 N0:766 <br /> . �, <br /> , , <br /> Total Fee: $ �. � g� ' .�(� DateReceived: (,�. i: �r :,; <br /> —� Dace Approved: <br /> Enrered By: ,��,u P�rmit#: �'�ry j I <br /> CYTY UF 4RON0 - BUILDING PERMIT A.1'PLICATION <br /> ALL INFORMATION MUST BE SUBMII"I'ED IN FULL BEFORL PLAN REVIEW WYLL <br /> BE STAR'fED <br /> 'I'HE APPLICANT IS: (circle one) OWNER OR C TRAC R <br /> JlJB SITE ADDRESS: � � - ! !i: �F_ -- ��: <br /> NAME OF OWNER: IU1.,I A-� L�2�L i�1 C�T�.S„—_ PHONF: (home) 3 L- � ¢ <br /> (work) <br /> MAILING�ADDRESS: _ ._�CITY: _ZIP:_�, <br /> _Z��Z� <br /> CQNTRAGTOR: �p F�A-A-2d c_��� �-rrwUi i�l-1 PHONE: 7S 7 - ��_ <br /> MCIBILE PHONE/PAGEIt: <br /> MAILINC�ADDRESS: ��I¢ N v2i t�!���,.� CITY: Gc��o�a� ZIP:_,�.,g._.4'� <br /> STATE LICENSE: �i c�c�Zo�$ <br /> ARCHTTECTIENGINEER: �1�1 �f r.o PHONE: S 44- Z7Sb <br /> MALLING AADRESS: C�TY: _ZIP: <br /> N��; _ REGISTRA.TiON � <br /> TYPE ON WORK: New �f Addition Accessory Savcture <br /> Move RemodeUAlteration Land Alte�ation <br /> PTtOPO5ED WORIC(describe in decail): N t� �..t C��.�:,,,_,����1�1 r <br /> STORIES: 2� SQ. FEET OF EACH FLOOR: <br /> 1V0. OF BEDROOMS: GA.R.AGE STALLS: ATT. �` DET. <br /> ESTIMATED C4NS112UCTIQN V ALUATTON(excludin�land): $ 2sc�, �� <br /> I hrx�eby apply for a building permit and I acknowledge that the intormation above is complete <br /> and accurate; that the work will be in conformance wi�h the orclinan�es and codes of the City <br /> and with the State Building Cc�de; that I understand this is not a permit and work is not to stxrt <br /> w�thout a permit; and that the work will be in accordance with the approved plan. <br /> APPLiCANT'S SIGNAT'URE: �— DATE: S'?i a -�� <br /> - P�k.�.Y ��nE� , <br /> NOTEI P,��e �f�es events require separate permit approval by Police Depar�mment and <br /> City Couneil 60 days pr�or to the event. Non perntitted everrts wrll not be allowed. <br /> 9 <br />