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�=� ���TY OF ORONO � 6124730510 09/24/9b 14:00 � :02/03 N0:522 <br /> ' �,�,,�:. <br /> ' To�ta1 Fee: $ Date Received: '�. _ _ <br /> Entered Hy: .�r� Permit�+: /'/�/ ''� �'+� :a .�9� <br /> � . <br /> CYTY UF ORONO - BUILDING PERMIT APPLICATYC)rt ' � '` <br /> Ap ir�forn�atlon must be submitted in �ull before plan review will be started. <br /> � , (please print all informatlon) <br /> ' .r��.�►.�������^��.._�._..__�....��.��.�..������.��..�.�...�.�s..��.��..�..�..���..rr���..���.. �..-����..�_�_�__..��_____..�_�_�_.. <br /> TH� APPI:ICANT IS: (circle one) OV�NER OR NTRACT� <br /> JOB SITE ADDRESS: ag�� ���'-� �D� ��-� ZIP: 5�3 91 , <br /> � NAME OF OWNER: �-�a'U'l�k S�-�.-� PHONE: (home) y�1 �v7a <br /> � (w4rk) <br /> r+tati,nvG a�a�ss: �g��► Cr<.oCu P�-. n d. crrY:,�.;,� zrr:s s3�� <br /> , <br /> G�CONTRACT4R: .��� �" Qx2 P�#ONE: �a--�l�?�y <br /> ��,9. . CONTAGT PERSON: 1�0(,C.�. �sZl�-as�-/ 1VIOBILE/PAGER: <br /> � � 11riATLIlYGADBRESS: 35��i3`�C�e •7��i C1TY: ZIP: s�-!3a <br /> Q � � ^n� ��AT� LIGENSE: a aoo�{o c�3d <br />�\�k �����„ �� <br /> v O/ � <br />��,U" �' . ARCHITF.CT/ENGINEER: n�`� PHONE: <br />�\�� MAII.ING ADbRESS: C�TY: ZIP: <br /> _7 ��� NAME: REGISTRATIUN� <br /> � � <br />� �es��' <br /> '> •TYP� O�' WORK: New Add'uion Accessory Saucture <br /> ��a,� Move Remodel/Alteratian ✓ Land Alceration <br />�`�` � • � <br />- PROPOS�A�VVURK(describe in detai�: ��� �,�p ��f y��lr�c,,4,r rl,, _ _____ <br /> i,�)ibl�.���,f- .n� � . <br /> STORIES: SQ.FEET OF EACA FLOO�2: <br /> NU. OF BEDR0014IS: GARAGE STALLS: ATT. DET. <br /> ES"i'IMA7'ED CONSTRUCTION VALUAI'ION (excluding lan�: $ `�1 <br /> I h�reby appty for a building pettnit and I acknowledge that the informetion above is complete and <br /> accurate; that the work will be in confornnance with the ordinances and �odes of the Ciry and with <br /> , ' the State Building Code; that I understand this is not a permit and work is not ta start without a <br /> permit; and that the work will be in accordance wfth the Qpproved plan. <br /> APPLICANT'S SIGNATURE: DATE: 3/3v�99 <br /> NOTE! ,p,����.qf,�[Q�p� events requfre aeparnte perm approval by Pol�ice Depat�tment and <br /> G�ily Cor�ncll 84 days prdor to the event. Non perniitted eveRts w�ll not be allowed. <br /> Rer.pivad Timn Cen �A 1 �d�A?If Ari �� T�...� C�� �� 1 . d�D1�I <br />