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f,. <br /> 02/28/1994 64: 15 6516336491 RICKS RFG & SDG INC PAGE 02 <br /> l <br /> �� <br /> . <br /> � �'� : �,�L -=Y . ��i6 <br /> �� `� <br /> Total�'a: S ��� I ` Uete Received:—- �+ u C�j Cj <br /> E�ter�d Hy: �_1� Petmit#: _�,. /�,,�� <br /> ,.� <br /> CI'I'Y OF ORONO - BUILDING PERMIT APPLICA',�'�ON <br /> All information mu�t be submitted in ftill before plan review will 6e started. <br /> (plea�c print all lnformation) <br /> THE APPLICANT IS: (cirrle oae) OWNER O ONTRACTQR <br /> JOB SITE ADDRESS• �,�� C Q S C� pni r,-4- �r� ZIP: ,-r������1 1 <br /> Wiq twia be s Pamde ofIiames,Remodelers Showca�e$ome or other Display ��omc? <br /> ❑Yee �O Ifyea,a Jpecid even!perrnit la�equired wilh Police Deparlmenl and Ciry Gouncil appr�n�ul <br /> 60 days prlor�o lhe evenl. Shvtlle bas servrce wil!be required unless applrcan�den�a�.►�ru[c•.�• <br /> st�j?cJen!on-slfepwAdng 19 availoble. Non permineQ events will not be all��wed. <br /> NA11�OF OWNER: ��1J��Y1� PFIONE: (home)_ � �/a� 3 <br /> (work) ,,, . <br /> MAILIl�iG ADDRESS: � CITY: ?�CP: <br /> CON'l�iACTOR: gl �SlS�L . PHONE:(� �I'S <br /> CONl�ACT PERSON• a,-� BLGE/PAGER: <br /> MwII.1nvG�wDx�ss: �C1�vP�nhd �,,Y ,sw cr�rx:�e,�,,ra��a��: ��. <br /> STA1T LICEN3E: # 3�l_s(„ EXPIRATIQ�i pATE: 3 —D� <br /> ARC�T�GT/ENGINEER: PHONE: <br /> MAIGING ADDRES3: CTTY: ZIY: <br /> �NAM�� REGIS7'RATION: # <br /> T'YPE�F WOAK: New Home Addition Accessory Structure ____ <br /> Move Home emodel/Alterat�o ie: Siding, Windows) S i�l��c�,W;rda.. <br /> Any earth mrnrement may require MCWD review and permit�! J <br /> PROtOB�D WORK(descrlbee�n detal�i`J �U �1/1� . W '�����J ��T"ti/w�J <br /> — _���r_p�f /c+.— i�Ly�_ J <br /> 3TOIt�S: 3Q.FEET OF EACH FLOOR: <br /> NO.O�BEDROOMS: GA�tAGE STAI,LS: ATTACHED DETACHF.11 <br /> ESTIMAI'�D CONS'TRUCTION VALUATION(ezcluding land): $oZ��� �� <br /> , <br /> I heraby�a�ply for a buildin,g pamit and I aelcnowledge thst the information above is eomplete and accuratc; <br /> that the!woe�c will be in confvrmance with the ordinanees and eodes of the Ciry and with the Statc Building <br /> Code;t}l�et I underetand thi,is not a permit and wotk is aot to stert witboul a permit;and that the work w i I I hc <br /> in aceortlance with the ep�provod plan. <br /> APPL�CANCS SIGNATURE p,p��; !o-�-Q�- <br /> 31 <br />