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Oct-2�-20RJ 12:02am From-CITY OF ORONO +65T2494616 T-063 P.001/002 F-BT5 <br /> � � � ��� <br /> ����,�j���:; Tota�. Fee: $ �.✓� l-5 Dats Received:� I�-'� � ��� <br /> � Entered By: Permit�; .� � `�� � <br /> � � <br /> r "� ,,,�� � ���XZ'Y O�+' ORO�TO - BYJII.DI(NG PE�'MIT' APPY.,�C,ATION <br /> ry-��f -; <br /> � I' �..1 All informati,on must 6e�ubmitted Mx� ftiIl befoxe plan re�vfew will be started. <br /> ^'�' (please print adl infivrmanon) <br /> � ��`��....�w---�..�....�___�__...�.,�_�...�_..._�_..�,._..� ` r.....______...�.,�. <br /> � APPLYCANT IS: (circle one) OVVNER O ONTRACTOR <br /> � <br /> � 1 ' <br /> �, t;`iaos srr� ,�D�ss: �: c . � � zxP: .���.�� <br /> N�E OF OWN�R: �1`(11n ��1i�� PHONE: (ho�m,e �� " � I IJ� <br /> ork) <br /> MA,ILING AD�RE9S: . �(O �._C1'�'X: ZIP:—`��(,o <br /> cax�rr�,,cTOR: � ' � c�' r�or�: ,Q�- ,��� 9y�/� <br /> CONT.ACTPER90N;-f , MOBILT/PA,GER: <br /> MAIL]NG ADDRE89: I"1 � ' ,�p��ITY: ��'�.J.�.7 <br /> STA�TE LXCENSE: �' ` � <br /> A.xtCffi'J�'FCT/�ENG�INEER: _ PHO�TE: <br /> MAIGri�TG ADDRESS: CIT'S�: �II':..—..--- <br /> NA'MC�: �—�IS'�RA,TxON# <br /> TYP� �F WORK: New^„ Add.iiio� Accessory Suucture <br /> Move Remodel/Allerauon _ Land AJ.teratxon_______ <br /> �YtOP05ED WORY�(describe in detain: �r � � <br /> 3TOR�S: �� SQ.FE�T OF�;ACH FLOOR: <br /> NO. O�'�ED�OOMS: GARAG�STAY•Y•S: ATT• _� DET. <br /> TSTIMA'f'ED C01�15TRUCTION'VALUATfON (exCludin�tand): $ <br /> �- , � <br /> I helceby apply fo�c a bullding�erm'�C and�acicaowledge that th�infozmacxon above�S conaple�e and <br /> accurate, [hat che work wil,�be ia conformance w�th tb�ordiaances and codes of th�e Ciry and with <br /> tbe 5tate Building Code; r.hat I u�uderscaad thi.'� is not a�crmit and work is n�ot Lo start wit�out�a <br /> p�rmit; and tla�c che work will be is�accordance wict�rhe approved p1an. <br /> APFLICA,N'r'S SIGNAI'URFv: D�TE: C . <br /> ► � ,�events require separate permit appmvuusl by Policc D�pamnerat and <br /> NOTE. � <br /> � City Council 64 days prio�to the event. Non perrttitted evenu w�li not bB allowed. <br />