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Oct-I8-2000 04:07pm From-CITY OF ORONO +9522494018 T-824 P-002/303 F-938 <br /> Total Fee: S Date Received: ! (D ' -7 /0 If <br /> Entered By: Permit#: <br /> CITE' OF OROS"O - SUILMNG PEJMII'T APPLICATION <br /> All information must be submitted in full before plan review will be starter!!. <br /> (please print all information) <br /> THE APPLICANT IS: <br /> - (circle one) OWNER O <br /> JOB SITE ADDRESS: t-C S--C) TU ED W: <br /> NAME OF OWNER: PHONE: ( o=) q7 <br /> (work) 1-4-71 -r.�epaT.7 -7 / <br /> MAILING ADDRESS: 1 G Tr?[ �4d�c3. CITY: ZIP: S — <br /> i�1a <br /> CONTRACTOR: Dr's W/Ylfd-�-PHONE: 2�161� 69 <br /> CON'TACT PERSON: r' MOBILE/PAGER: /(� <br /> MAILING ADDRESS: `Ila U eYt_-Shl CITY: te- relveziP: <br /> STATE LICENSE: #_� ,+ r <br /> J� <br /> ARCBTrECTIE.NGINEER: PHONE: <br /> -MA.YLING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION#_ <br /> Addition Accessory c <br /> TYPE OF WORE: New Ad essory Stru tute <br /> Move _ _ RemodeVAlteration Land Alteration <br /> PROPOSED WORD(describe in derail): -A1 i PJ D(:> t'� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIl�IATED CONSTRUCTION VALUATION(excluding land): 1_4 4 6S�r <br /> I hereby apply for a building permit and I acknowledge Haat the information above is complete and <br /> accurate; That the work will be in conformance with the ordinances and codes 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 Haat the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: <br /> 'VOTE! Parade+,fes 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 /> OLI <br /> a A <br /> ��yj <br />