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MAY-11-2007 14:25 From:6512030554 PA9e: 1�1 <br /> May-10-2001 10:50am From.CITY OF ORONO �'- <br /> i��ZddAd6b6 T-071 P 001/002 F-OOB <br /> $ Total Fee. S /1_,72 . :5 <br /> Entered By. /Z/} Date Received; <br /> CITY OF ORONO - MIMING PERMIT APPLICATION <br /> All information must be submitted-In full betbre plan review will be started. <br /> ------..___._ (please print all lnprntation) <br /> TSE APPLICANT IS: circl <br /> ( a ores) OWNER ORTRACTOR <br /> JOB SITE ADDRESS: J15 I a) 1 SQL to i _Te . ZIP: s4 — <br /> NAME OF OWNER: yf n 1.,_p J PHONE; (prune) <br /> (work> -~�3 - <br /> MAILING ADDRESS; 11-')\ k.1,).1\ ('j�k fir CITY: b r Dan <br /> CONTRACTOR: ` I 1..► . �• �.�► 13f10NE: (CDS c� <br /> CONTACT PERSON:. �A, - MOBILE/PAGER; I <br /> MAILING ADDRESS. 1 r! E_ CITY: D{t\n ) ZIP: <br /> STATE LICENSE: # 2�z A � �, ° <br /> ARCI"IITECT/ENGINEER: _ PHONE: _ <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: _ REGISTRATION# -- — <br /> TYPE OF WORK: New Addition. Accessory Structure <br /> Move gtmodel/Alteration G/ Land-Alteration <br /> PROPOSED WORK(describe in detail): <br /> STORMS; SQ.FEET OF EACf FLOOR: <br /> NO. OF BEDROOMS: • GARAGE STALLS: ATT- • DET, ••._- <br /> ESTIMATED CONSTRJJCTION VALUATION (excluding land); $ ( (o3C <br /> I hereby apply for a building permit and I aclalowledge that•'the-information above is complete and <br /> accurate; that the work will be in conformance with the ordinarres and.(r th.c of the City and with <br /> tho State Building Cade 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 accordance with the appri cl plan. <br /> APPLICANT'SSIGNATURE: - <br /> NOTE! �� <br /> 1'�cade o .ornec events require separate permit approval by.Police Department and <br /> City Council 60 days prior to me event. Non permitted events will not be allowed, <br />