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11112/2003 10: 40 6514868632 GRAVHAWK PAGE 01 <br /> Ag ni <br /> .I nhl I'l'l': /�_I D <br /> I)NII I�'c•rl'i,�l•cl: 3 <br /> I�nll�l-ccl I���: f'hrmil <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All informatiom nulq he Suhniittccl in hill hel=nre elan reg✓iew will he slartecl. <br /> (/,lc, 1c'171m!,'///inlrTI IE „rrcrlir,>r) <br /> APPLICANT IS, c ir' c') O\\'NI•:R ()I: ()\"I I�,. ,. :)I' <br /> JOB SITE ADDRESS: 2:1 P: <br /> NAME OF OWNERZ((j�MA , PHONE: <br /> MAILING ADDRESS: CITY: <br /> ZIP: <br /> -- <br /> CONTRACTOR: ��Il PHONE: 1of1_yak.:q_oF0 <br /> CONTACT PERSON: Oct MOB1LF/PAGER: <br /> MAII,.IN(i ADDRESS:, ' v!L4_(_?lj CITY: � 7_IP. <br /> STATE LICENSE: # - (� <br /> ARCHITECT/ENGINEFR: _ PHONE: <br /> MAILING ADDRESS: _ CITY: ZIP. <br /> NAME: RF(;ISTRATION # <br /> TYPE OF WORK: Nc\r lcicfificm <br /> \Ct'l'ti;:l,l"1' �II'Ul'lllrl' <br /> nilhe lrle l :111cv;llicnl <br /> ;11nc'l' ' � I,;uul ;\Ilc•r,llic,n ----�— <br /> PROPOSED WORK (,/c'sc rot,in elcyji�: (� -QY 1!1�� La1 <br /> STORIES: SQ. FEET OF EACH FLOOR: _ <br /> N0. OF f3Ff)R-0 MS: OARA(iE STALLS: AT . 11I;l„ <br /> ESTIMATED CONSTRUCTION VALUATION (exrfuding, lancl): <br /> hcrncV rrhhly I'nr rl I)Ullllin` I�l�rnril ;Incl I ,rl'Icnn�c'1l'chc' ihrll Ihc' irtlrrrn ,llirnl ;Ihu�l� i� ccunl�lc'Ic ,Incl <br /> nl'currllc�: 1h,if Ihl� ��',r,•I< �c•ilf hc.� in c'c,nlc,r,n,nrrc ��•ilh Ihc' <br /> c,rclin,un'c•.� ,Incl cncicy r,f Ihc �'il�' ,Incl ���ilh Illy <br /> �Llll' Illlilc)in �'c�c.11: Ih;lf I nncicl'.�frurcl Ihi� is n(If II I)l'rmil ,Incl w(fl.lc i. nc,l lu sl;u'I ��"ifhc,lll ;I hc'Iniil: <br /> and Ih:II flu' cccn"l; cl-ill hh in ,Icc•Irr(hil ' 'xifll Ih(' ;rl)llrr,rcvl <br /> APPLICANT'S SI(iNATUR ..• DATE: l ( A l 2,- u3 <br /> �LTCdc <br /> ,01unci/601/, ti O H011R.'s c,vc /,ti r c'grnirc•.tic/rnralc perniit�i/rni n��l/ht'I°n/ic'c Or/��rrtrncvrt rind CitV <br />