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Total Fee: S Date Received: <br /> DateApprov d: <br /> I <br /> Entered By: Perrrut `. 7 } <br /> CITY OF ORONO - BL-MD1NG PERIMIT APPLICATION <br /> ALL INFORMATION MUST BE SUBMITTED IN n-LL BEFORE PLAN REVIEW VVELIL <br /> BE STARTED <br /> THE APPLICANT IS: ~ (circle one) OWNER 0 CONTRACTOR <br /> JOB SITE ADDRESS: 500 T6n4v"Ja- �Ij ZIP: 5S3a1 <br /> NAINIE OF OWNER: D( 6�(fp N& S'D1n PHONE: (home) 7 -633 3 <br /> (work) <br /> -NU LLNGADDRESS: SDC) -t-onkapJ& � CITY: Q��i or ZIP: 1 <br /> - 10 <br /> CONTRACTOR: - I1 PHONE: <br /> NIOBILE PH /PAGER: <br /> IAILINGADDRESS: l li CITY: M;n I ZIP: SS q-C-P <br /> STATE LICENSE: # 6 i u,'� <br /> ARCHITECTIEVGLNlEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NA1�IE: REGISTRATION n <br /> TYPE OF `YORK: New Addition Accessory Structure <br /> Move RemodeL/Alteration 1/ Lard Alteranon <br /> PROPOSED WORK(describe indemil):, rar hSic- PDM rood Svae,VI <br /> STORIES: _ SQ•4 FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTLVIATED CONSTRUCTION V ALUATION(excluding land): S <br /> I hereby apply for a building permit and I acknowledge that the information above is complete <br /> and accurate; that the work will be in conformance with the ordinances and codes of the City <br /> and with the State Building Code; that I understand this is not a permit and work is not to start <br /> without a permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: V42:4= <br /> DATE: 74G <br /> NOTE.' Para_ d?of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />