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I* <br />.Total Fee: ‘ S <br />Entered By: ri/fi— <br />Date Received: /c^-F 'O^ <br />Pennit#: AifTTi^S - ^ <br />•Ha/5- <br />• * I»• ■ <br />CITY OF ORONO • BUILDING PERMIT APPLICATION <br />0 y <br />V .t.:* All infonnation must be submitted In All! before plan review will be started. <br />(please print all ir^ormation) <br />THE APPUCANt IS:(drele one) OWNER ORV^ONTRAC^ <br />ZIP:JOB SITE ADDRESS: ^30 SUoJZ^cocI? <br />NAME OF OWNER^^6i^v^ <br />MAILING ADDRESS: Z O *St>*>g^«.Aaac m <br />PHONE: (home )*^Sa ‘ I <br />(work)__________________ <br />rrV: Drr^tr, ZIP:*g^3 L <br />PHONE;CONTRACTOR: r//) —„ — <br />CQNTACl'PERSCT^ fe>Pj? / _________________ <br />MAILING ADDRESSl^52^Stt^I^_ CTTY; CirsQOtoU-ZBP: <br />MQB1LE/PAGER:L la-1*3 dg <br />STATE UCENSE: » <br />• J. <br />• e »• <*« •• • • • <br />•*V* • • •:* ••••» •• «• • t • • • *•• a • • .• • .. <br />ARCHTTECT/ENGEVEER: <br />MAILING ADDRESS:___ <br />NAME:______________ <br />•• • • • • «__|_ •PHONE: <br />. •• • • •, •• <br />t” <br />CITY:ZIP: <br />REGISTRATION <br />type OF WORK: New____ Addition ____ Accessory Strucaure <br />Move _____ Remodel/Alteration Laud Alteration <br />PROPOSpb WORK (describe in^eUnti: ~ RfidtUOnA e <br />STORIES:SQ. FEET OF EACH FLOOR: <br />NO. OF BEDROOMS:GARAGE STALLS: ATT.DET. <br />L4>Ae^^ <br />ESTIMATED CONSTRUCTION VALUATION (excluding land): S ]^jdOO <br />I hereby apply for a building pennit and I acknowledge that the infonnadon 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 1 understand this is not a permit and work is not to start without a <br />permit; and that the work will h<^ accordance with the approved plan. <br />^HSec, jair. <br />APPLICANT'S SIGNATURE: Cp. __ DATE: 3. <br />&<NOTE! Parade of Hemes events require separate permit r^roval by PoUce Department and <br />City Council 60 days prior to the event. Son-permitted events wiU not be allowed.f <br />Zd/t0 39Vd OOSnd VX0S3NNIW V^S6-SE6-ZS6 12:S0 2002/80/01