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FROM : FAX NO. : Apr. 18 2001 10:41AM P2 <br /> nov-J (..JuI a::ivun -� <br /> rrvn .i11 yr umunv /117‘44114g19 1-11t1P.UULIUUS F"e15 <br /> • , L c _ <br /> Tonal Fee: S <br /> ��' Date Received: /7C-" <br /> Entered By: Permit#: <br /> r. - <br /> CITY OF ORONO -BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print an u¢ormativn) <br /> TBE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> sou SrrE ADDRESS: 2} 0 o A k Ct rC k- ZIP: 's?z3 <br /> NAME OF OWNER: ' ` 1�o I r ,(a PHONE: (borne) <br /> CI rc(c (work) <br /> MAILING ADDRESS: o �,,v.,T o A CITY: o4--o <br /> CONTRACTOR: 6A r�.s S PHONE: c 3) Ss'o-- o o Y3 <br /> CONTACT PERSON: ch ,s Ce,..., ..1 MOBELEIPAGER: <br /> MAILING ADDRESS: 4L��o �'^-(r w est CITY: P t ti r-ca ZIP; S'S `e Y Z <br /> STATE LICENSE: # (5c - 3 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRPSS: CITY: zIP: <br /> NAME: . _ REGISTRATION#— <br /> TYPE OF WORK: New Adduion Accessory Structure <br /> Move Remodel/Aheration Land Alteration ' f <br /> PROPOSED WORK(describe lh derail): D r F `� L� �t 0C)f <br /> STORES: SQ.FEET OF MCU FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ g'-f o o . 0 <br /> I hereby apply for a tw,ikliu$ alai I acknowledge that the information above is complete sad <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 /> pernuit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: .a-C DATE: o'er '00 LI 2 00 I <br /> NOTE! Parade if Ror es events require separate permit approval by Police Deparhnent and <br /> Cie, Council 60 days prior to the event. Non permitted events will not be allowed. <br />