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Jan-31-2002 10:02am From-CITY OF ORONO +9522494616 T-58T P.006/00T F-098 <br /> �_ ,- <br /> ��' Total Fee: $ / �l ��, . > � Date Received:_ �' - C�� (' �Z_. <br /> • Entered BY� „ ,�,� Pennit#�: . � �, � �:�--,S- <br /> ;� r;' � �'� _ <br /> C�TY OF URONO � B�}ILD�N'G PERM�,T Al'PLICATIQN <br /> Ail information must be submitted in fuli before pIan review �vil1 be started. <br /> (please print all informa��on} � <br /> - �-------.,..��------- <br /> THE APPL�CANT IS: (circle one} ()WNER QR CONTR.ACTOYt <br /> �O$ SITE �DRESS: �f�� �'�ewn r�oav�`� . 7,��': 5"�,�-'3 9/ <br /> NAME �F O'VV'N�ER: Gs�►'/��i„l n /�o �•'' _ PHONE: {home) 9�2-���-7�� <br /> (work) <br /> Mf��,.�GF�D�$S: ��� .�/a�Jp oa.� CITX: Di�»Q Z�: 5539/ <br /> CdNTRACT017: ��Y��-{.,- v �ssaGca��s', �f. PHONE: 95�s • �9- 9�f�t-� <br /> C4N�'ACT PERSpN: Se�t/ ,ti-,-.� MOBYLE/��: �.�-��- 4�i p <br /> 1VIAYLING ADDR +'SS' /Y3o h� /j?i������• /9/✓s�[ C�TY'• Gv t-a� ZIP: 5539/ <br /> STATE Y,TCENSE: # ��-/3 �a -�—�..� <br /> ARC�TTTEC�/ENG�ER,: ,yBA,�re�:tc� PH4IV�: G�- 37�- 6!74/ <br /> M�1LING AY3bRESS• ��i N�-r� /!'' S�i�f CITY: ,,,A o./•f ZIP: .�s�s/ <br /> NAIVIE: ���.,•� l.�r.�.�-� ,,, __ -- REGIST1tATI N#t �- <br /> T`Y'PE O�' WORK: New Addition Accessory Suucture <br /> Move Remodel/Alteration t� Land Alteration <br /> P�20 OSED WQRK (descrzbe in detai�; �',cs�••-��� r�.-,.�.►�"-; • �O7Y�-s,;,, ,�� ,�Sm� <br /> ,c,� �a a s�u.I a„.�/ �n.�� a A �cs�ioaY.-, �.+..✓ /f Q�iS�a'a»,. <br /> STORIES: SQ. FEET OF F:AC�T FLQOR: <br /> N4. QF BEDR04MS: / GARAGE STAI,,�.,5: ATT. D�T, <br /> ESTIMATED CQNSTRUCTIpN VAL'U'AT;I4N (excIuding land): $ 7(r DOD,oa <br /> iR <br /> � hereby apply for a buiIding permit and I ackn��wl�dge that the information above is cvmpleee and <br /> aCCurate; that tl�e work will be in confarman�e with the ardinan,ces and codes of the Ciry and with <br /> the State Building Code; that I understand [hi�; is not a pe�mit and work is not to stan without a <br /> permit; anc3 chat the work r�ill be in accordan�.e with �he approved plan. <br /> APPI.'1GANT'S SIGNATURE: � _ ���� r}ATE: a 3" oa-- <br /> NOTE! P�rade r�f I�omes eve ts require separate perrttit approval by Police Depgrlment a�td <br /> City Cauncil 60 days prior to the event. Non permitted events will nat be allowed. <br /> S <br />