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� 09/20I2065 01: 49 7634788611 MATRIX INC PAGE 02 <br /> . C'�'� ���b � D ll <br /> 1�6.b(� <br /> T�tal.Fee: $ � Date Reccived: 4-�o�D,� <br /> Entered By: _... Permit#: �t ' o9aY� <br /> CITY OF ORONO - BLJ.ILDINC PERM�T APPLr�ATt�N <br /> All inform�ation must be subr�nitted in full before plan review will be started. <br /> (plea,ce print n/1 information) <br /> THE APPLICA�iT IS: (circle n,:e) OW.NER 4R ONT a�Tni�a. <br /> JOB SITE ADDRESS: �(�l�''� '�J�I C��J` P�r � 1'�CJ� 7TP: S S 3�� <br /> Will t�is b� �Paradc o�P Home.g,Remodelcrs �howcase Home o.r ot6er Display.Home? <br /> ❑ YeS �Np l,fycs, a,speeral even�pe+•nait.is r•equfred wilh Pollce Depar�menJ qrrd City Cor�n��i arnr���Q� <br /> (D d�Lvs prio�'to llrr?r.vvn► ,Shr�tll�bi�s.cart�ies�ri//he reqPail•cd in9les.p qppJiea�v d�:rrrvri�•lrulc,�� <br /> su�cienl on-sire no��king is availphle. Non-pe�•milted e�:enls i�Jil!not he�r/lmved <br /> NAMT Ok'OWN.ER: Kic)( �D��f e�I Sonyv� �I UTC�1h�Pn pHONE: (home) Q�a' ��i-�18 <br /> (work) � ��-1- �W�� <br /> MATLiN�ann�2Ess: SU►�n� as �o� �ITY: zrn: <br /> C4NTRACTOR: � '`a►�'t�x �10m�. �m�r pd�w�����,r�, PHONF.: 763_4��5� �5�)d <br /> CONTACT PERSON: �c.1�C MOX3�LE/PAGER: 7��- a3 .. ?q�� <br /> MAiia�NG ADDRESS: 6 5 b c� Fsl �ZTy; �e ��, e ; 3 6q <br /> STATE T.TCENSE: # aCi3 $a� '3� EXPIRATION DATE: 3l 0 <br /> ARCHITECTIENGINEER: N�c�t`w .l'IION�: <br /> MAILINC ADDRESS: CITY TIP: <br /> NAME: . , _.RFGISTRATION: # <br /> TY.P..F OF WORK: New Addition ncc s ry Sh�ucturc <br /> Move Home liemodel/Altcration � <br /> PRdPOSP�b ORK(desc�ibe ' de�ai : qUe�� C� � vJ(ti 5 �o w��o+,� <br /> t <br /> S �W ��l. 0 (or�� � Q � ex � 1 (�0� <br /> STORIFS: � � SQ.FEET OF LACH FLOOR: �iti I U b� <br /> NO. OF SEDROOMS: . C•ARAGE STALLS: ATTACHEn DETACHED <br /> ESTIMATFP CON5TRUCT.ION VAL T�ON(excluding Ia.ud): $ rj, (�O U <br /> [hereby apply for 1 building permit and I know edge that ihe infonnation above is camplete and accurate; <br /> ihat the work will be in conformanee wi the or inan,ces and codes of the City and wilh the State Building <br /> CuciC;lha��I,underst�nd Chis is not a pe �t and rk is not to start without a permi.t;and that the work wil l be <br /> in accordancc with the a.pprovcd.plan. <br /> APPLICANT'S SIGNATUR;�: DATE• q �O �S <br /> 31 <br />