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+ CIT� OF ORONO � 6124730510 12/04/96 12:33 �1 :02/03 N0=410 <br /> � <br /> Total Fee: $ Date Receiued: <br /> Entcred By: Pcrmit A�: <br /> CTl'Y OF ORONO - BUILDING PERMIT APPLICATION <br /> All iaformation muet be submttted in 4ti11 be!'ore pian review w(q be startcd. <br /> (please print all informarion) <br /> -------------------------------------- > <br /> � THE APPLICANT IS: (ci�cle one OWNER OR ONTRACTOR <br /> � <br /> � JQB SYTE ADDRESS: Z�cI � SO�'`�'-�`-°�-� L �^�____ ZIP: <br /> � <br /> NAME OF OWNER: �c C �C. ��fa-w�r/l. PHONE: (home) <br /> (work)_ <br /> MAILINC:ADDRF:SS: .S�w��. o� /��, CITY: ZIP: <br /> CONTRACT(�R: Q o��-� � +-S o Ns PHONE: ��3�S-�J f 3 3 <br /> �-. CONTACT PERSON: N N ELso N MOBILE/PAC H:R: 7 z�- `�oo g <br /> � ING ADDRESS: �I o 1 Lo u.Hrt'Y�o CITY: �-�-o �N S ZIP: S 5 3 y 3 <br /> MAIL <br /> STATE LiCEN5E: p <br /> ,. _._ <br /> --� � <br /> .. _�'`���y�,� <br /> ARCHITECT/ENGIfiTEERi' .. ... .'�^I,I' y rAO�. <br /> 11�AILJNG ADDRFSS: _ "`,,,__ <br /> �Y� .....�_CITY: • <br /> NAM�: � `''.-RF�YST1tATION a <br /> --�- <br /> .�` <br /> �-�' <br /> TYPE O�'WORK: New Addidon Accessory Structure <br /> Move Remodel/Alteradon I.and Alterat9on <br /> -�.PROPOSED WORK(describe in detain: 11�.�.�--r}-�_�- ��`^'` �'O`^ <br /> "�--r � _._._.___. <br /> _.., <br /> -_.__.-.�. SQ.FEET OF EACA � r--'-.-"__ <br /> STORIE9: �- _ � <br /> NO. OF BEDROOMS: � TALLS: ATT. DET. <br /> _..__�,- <br /> ESTiMAT STRUCTION VALUATION(excT�Tdi and): $ <br /> I hereby apply for a building permit and I acknowledge that the information bove is complete and <br /> accurate; that the work will be in conformance w�th the ordinances and codes of the City and with <br /> the State Building Code; that I undtrstend this is not a permit and work is not to start without a <br /> permit; and that the work wil! be in accordance with the approved plan. <br /> APPI.ICA.NT'S SIGNATLTRE: /1� . DATE: �a`� `� <br /> NQTE! P��� of Hnmes everits reguire separate permit approvat by Pol�ce Department and <br /> C�ty Councu'60 days privr to the event. Non perrn�lted events wllt not be allowed. <br />