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JotilFee: ' $_225i-l3— <br />EoiexcdBy: _______ <br />Ditc Received: <br />Fennitf: t3 • <br />■Ha/5- <br />•*f • r * * <br />CITY OF ORONO - HOMING RERNOT AP^ <br />AD kifoniurtiM matt be submitted in ftill before plan rertewwtU be itarted. <br />. . • (please prins all i/tformetion) <br />THE APFUCANt IS: (circle one) OWNER QRA^ONTRAC^ <br />JOB SITE ADDRESS: ^3g7 SUoJ?l^<xJ? >?e^. ZIP; ^^“53 t <br />NAME OF QWNERi^Trtk^ 4" 1 Vi^g I PHONE: Qiflme)*^Sa. ♦ <br />/7 'A-ob 'MAnJNGADDRESS:3oS^<«gft«>goggfe fcTY: Dcmt, ZIP:’*g^3i <br />CONTRACTOR: <br />CONTACT PERSO: <br />MAILING ADMIESS:S<^ <br />STATEUCENSE: <br />__ PIIONE; <br />MOBnJE/PAGER:LtZ^g^T> >“340 <br />v>^^.T>r-. ClTY:i^.rKx^^>^;^ ZBPtSs^yUT <br />ARCHnECT/ENGINEER: <br />MAILING ADDRESS:___ <br />NAME:______________ <br />:v.> <br />PHONE: <br />CTTY:________ <br />REGISTRATION# <br />ZIP: <br />TYIEOFWORK: New____ Addition____ AccessoiyStructure. <br />Move Ronodcl/Alicration Land Alteration <br />PROPOSED WORK {fiacribe In fUtaU^: t 1------ry- r-ry <br />LTT. ~ <br />STORIES:_______ <br />NO. OF BEDROOMS: <br />SQ. FEET OFEACH FLOOR: _ <br />GARAGE STALLS: ATT. <br />ESTIMATED CONSTRUCTION VALUATION (excluding land): S Iflj ^OP <br />I hereby apply for i building pennli and I acknowledge that the info.'xnation above is complete and <br />accurate; that the work wiU be In cODfonnance with the ordiiuixes ami codes of tbs City and with <br />the Building Code; that I understand this is not a permit and work is not to start without a <br />permit; and that the work will b^ accordance with the approved plan. <br />Alr-sncjefoi ifat/co, <br />APPLICANT'S SIGNATURE: DATE: /O/'T^'X___ <br />NOTE! Pmit at Hama mult nautn ttaandt ptrmt a^nnl by PoUzt DtBaTtnunt aid <br />Gtf Council 60 days prior to the event Son-permltted evenu wiU not bt allowed. <br />ZO/ie 35Vd oosny VXCG3I4IH >rS6-SE6-ZS6 iz:60 Z0eZ/88/ai