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RCV <br /> wr BY:CORPORA,rECONTRACTOR= : 2- 3- 0 v: i9r:r03rrAMiw w 62v24im9•4v6.r1i 6v— vw11w an ow. itf08 .3 62:8 97V:# 2 <br /> Total Fee: $ Date Received: <br /> Entered By: Permit <br /> CITY Of ORONO - BUILDING PERNUT APPLICATION <br /> A11 into fon must be submitted In full before plan review will be started. <br /> (please print all i4 formation) <br /> --- -------------- _---- <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: _Z_7 Z S WA Y z A T A. L3 4.Vf>. ZIPt <br /> NAME OF OWNER: __Y4_ _.a q.F'1 1"Ar ---Ti PHONE: <br /> (work) <br /> MAII wo ADDRESS. _� p . 5 c X S 7 S CITY: ZIP: <br /> LDiY,j LLA r gr / Mj. 95-3.c to <br /> x.NG. <br /> CONTRACTOR: G OQp picTE CONT KA47'Q _PHONE: GobS t.tSZ 37 3 <br /> CONTACT M ,:►ON: _ p&N Q Ae off 1 MOBILE/PAGER: <br /> MAILNG ADDRESS: - 1 At a c, kae.K W A y CITY: _ B�Lo T ZIP: <br /> STATE LICENSE: — <br /> ARCH[TECT/ENGWEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAiV� REGISTRATION N <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration C Land Alteration„ _ <br /> PROPOSED WORK(describe In detail : ANA o FE i _��A <br /> err#& P Icy u.,o aPa,ry a 4 er P�,.ac.a M a•..c`t _yc nnS _ <br /> STORMS: I SO. F=1 OF EACH F LOOM <br /> NO, OF BEDROOMS: GARAGE STALLS; ATT, DET. <br /> ESTIIIIATED CONSTRUCTION VALUATION(excluding land): <br /> 4Q_2;, p O Q. O 0 <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 conformance with the ordinances and codes of the City and with <br /> the State Suilding Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work l be in acc the apRrovod plan. <br /> APPLICA?ffIS SIGNATURE: 3 <br /> NOTE! Pamde g f-Mg= events require areppar+ate penWl approval by Pot/Cc parhnent and <br /> GYty Council 60 days prior to the event. NOM-Permitted events will not be allowed. <br />