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Oct-0$-20�2 08:55am Froa-�CITY OF ORONO +952249b616 T-170 P.006/007 F-426 <br /> �- �. , ( � �;> �o. y_py <br /> � Date Ttecei�ed: <br /> Total Fee: $ ' � Permit#: ��o <br /> Enzered By: � � � �'�, � �,�- <br /> �i <br /> CI'I'Y (�F O�'t0�� =B�DYNG P�R1Y�I'� AP�'LICATIQN <br /> A11 information must be submitted in��n�o f�tion)�re�ew w�ll be started. <br /> (p1ease prrnt ,f � ��_� <br /> ______..�___��_...______ ----�— NTR.P,.CTOR <br /> T� AI,pL,YCp,N� �S: (circle one) �WNEI�Q <br /> JOB SI'F� ADDR�SS: �� <br /> �l �..i/�(Z �J'. �T]P:. S�S 302..� <br /> f�; ,N ��J �Ey PHOI�: (home) �,�a . <br /> N� Q� a��' � � {work} <br /> ,2a CIT�Y": Ozy��.9�y—ZYp': 5�'3 z3 <br /> MA.TI,P1G AAriRFSS: /a.�� � �. ;Si• �- <br /> ��rIL��9�. �GF�oo�� �N�. pH�N'�:. ��3 �s3 3-�S-4� <br /> CONTRACT4R: M4BILE/PAG�it: (oIZ�- �v3-cxobS <br /> C4t�dTAC"Y'PE�LS4N: 6� S c+j�� 4 Z9 <br /> c,249 LA�.�^� IU�ic� CIZ"Y: $0-�� �✓ Q►� �':_SS <br /> MAYI,ING A]�riRE.,SS: � �,N <br /> STA� L�CENS�E: #.26 '�q� <br /> P�IQNE: <br /> ARC�'I'�C'�'I�NGTNE�R: � C�TY: zIP: ��. <br /> MAILING ADARESS: �,�YSTRATIQI�# <br /> NAlV1E' <br /> Addition_ Accessory S���e <br /> �E Q�w��� N�W � RemodeUAlteration _ La.nd Alteration <br /> Move ,,,� — <br /> p�app�WORK(describe in detaiI}: T (�✓Y(� <br /> Fi�/�f GOJr/�D a'1/� �0/Z <br /> STaRYES: �: s�•�T dF EACY�FL�OOR: <br /> N4. QF BED�tUQMS' <br /> GAYtA.GE STAY.I.,.S: ATT. DET. <br /> ESTIlVIAI'ED CUNST`RUC'1'�ON VALrJA,TION {ex�luding land): $ '��� <br /> 11�ereby apply for a building permic and I aclaiowledge that the inforn�ation above is coTnplete and <br /> aceurate; that the work will be in canformance with the ordinances and Codes of the City and with <br /> raut and work is not to start without a <br /> the State Building Cr,de; chat I understand tlzis is noc a I� p roved lan. <br /> permit; and thac che work will be in a ardance wich the a p P <br /> �,ppI,ICAN'�''S SYGNATUREs <br /> DATE: 1d "3 "J� , <br /> " r e events re uire separate perme!aPProval by Police Depc�rtment and <br /> N4TE. Pc�rade4f,� � <br /> City Gounci164 days p�r� the event. Non PPrmi�@d events will not be alIowed- <br /> 5 <br /> OCT-3-2002 THU 08:45AM ID: PAGE:6 <br />