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Rcv-13-ZWD 0:1Oam From-CITY OFF ORONO +96ZZ494016 7-966 P.002/003 F-330 <br /> Total Fee: Date Received; G�� <br /> Enured By: Pcnnit <br /> CITY OF ORONO - BUILDING PERNUT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all Wonmtion) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 3 D q 16 - V e Zip: 3 5-6 <br /> NAME OF OWNER: _ 5fz u e 0/S o v-\ PHONE: (home) 6`OM1- `4 d 7-- 12,z/ 6 <br /> (work) G�; / ` C 7 a_�IL:5 <br /> MAILING ADDRESS: 5 ce v� C CITY: kP ZIP: <br /> CONTRACTOR: ,n c�� l C T F�✓l�'✓) PH ONE:( 5 Z <br /> CONTACT PERSON: MOBILE/PAGEP.,; 2 - Z L15 <br /> MAZING ADDRESS: Zipy c: 5 e-CITY: ��11 ZIP: 5 `�o <br /> STATE LICENSE: # 2 0 0 2 S03 <br /> ARCHITECT/ENGINEER. PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAMN• REGISTRATION A <br /> TYPE OF WORK: New Addition Acce3soty lSttueture <br /> Move Remodel/Alteration /Land Alteration <br /> PROPOSED WORD(describe in derail); �2 _ n T <br /> STORIES: I SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. _2L_ ;DET. <br /> e)C) <br /> ES'MIATE.D CONSTRUCTION'VALUATION(excluding land): $� S� _ _ - <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in eontomanm with the ordinances and codas of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; And that the work will be in accordame with the approved <br /> APPLICANT'S SIGNATURE: � -=)- -I�„ ►TE: I ��� <br /> NOIT! Parade of Homs events require separate pennit approval by Police Department and <br /> City Council 60 days prior to the event. Non pennhted events will not be allowed. <br />