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11/08/2000 14:04 FAX �02 <br /> I <br /> r � <br /> � % r/ L:� I � l./ <br /> � Total Fee: $ �� �_� � Date Received: i ' "� � � <br /> __. ._, . . <br /> Entered By: k'��,� Pernu�#: ;`��> � ��_�� <br /> <<� �Ii�'C�' l/—��-��/�� --� f-��1� • <br /> CITY OI�' ORONO - BUILDING P�RMYT APPLICATION <br /> All information must he submitte�i rn full before plan review will be started. <br /> (please prinr all irrfvrmation) <br /> THE APPLICANT IS: (circle one) OWNER 0 CONTRACTOR <br /> JOB SI'1'E ADDRESS: 1,3 �� (� _ � � ZIP: ,S�J 3� I _ <br /> NAME O� OWNER: � ��i � � ,(1 PFiONE: (home)�I �� �7,�,30�?(� l <br /> (work) <br /> MAII�IlYG A�D�SS: 13 '_55 �-r��>c� �-r CITY; ` � Z�s Z�:_�,'��- �I <br /> CONTRACTOR: �-� ��c'�-- � ;�N i� d - PHONE: �, � I- ���l5-�6�C� <br /> CON',CACT PERSON: ►ac���� ��_��ci,c}b MOBII,E/PAGER: (a5 I -(�5-3(0�� <br /> MA�LING ADDRESS; I�6��;J C����.�;, {��� CT�'X:g-r pav\ ZIP: <<�U� <br /> STATE LICENSE: #�;�_,��, -��S?� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAII.ING ADDRESS: CITY: ZYl': <br /> NAME; REGISTRATION# <br /> TYP� OF WQRK: New Adili�ic�n Accessory Structure <br /> Move Remodel/Alteration � Land Alteration <br /> PROPOSED WORK(describe in detai�_ �P �)1�C� �� .f1c�c��S <br /> STORIES: SQ. FEET OF LACH FLOOR: <br /> NO. OF BEDROOMS: C�ARAGE STAY��,S: ATT_ DET. <br /> ESTIMATED CONSTRUCTION VAY,UATION (excluding land): $ CI 3�. ��_ <br /> I hereby apply for a builcling permit and I acknowledge rha[[he information above is complete and <br /> accura�e; thac rhe work will be in c�nformanee with the ordinanees and codes of the Ciry and with <br /> the Srate Building Code; that I understand this is not a permi� and work is not to start without a <br /> permi�; and that the work wi11 be in accordance with the approved plan. <br /> APPLICANT'S SYGNATU�: ��� �-c - * DATF:: I I <br /> NQTE! Parade Qf Homes even�s require se,parate permil approval by Police Department and <br /> City Council 60 days prior to the event. Norc permitted events will ►tot be allowed. <br />