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x ;;���-23-2,001 08:23am From-CITY OF ORONO +g622494616 T-685 P.002/003 F-61T <br />� ~ <br /> Total Fee: $ l�ate Received; <br /> � Entered By: Permit#: <br /> CITY 4�' ORONO - BUII.,DIKG PE�tMIT APPLYCATION <br /> All information must be submitted in full before plan rePiew will be s#art�c� <br /> - (please print��ll inforniation) �`- <br /> TI� APPLTCANi' IS: (circle one) O�VNE�2 OR CONTRACTOR <br /> � <br /> J4B SITE ADDRESS: �r� ( � �c;l`:C_U �0� �.� .� ZIP: �J��C� <br /> TTA.� �� Q'�'��R: 1_' � ke f r)�n C�. ���P"�� P���: (110IIIe�(��s Z�4� r- q 5�3 <br /> (work)�'Q5� �-�-6�Zv <br /> 1�I.A,II.IlVC'r A.DD�2F..c1S: L�t 1 Z Cc���C(� QG 1 n� EL� CITY: "7 rn 1�U Zlp: �S 3ri.1 <br /> � <br /> CO��R.ACTOR: i�l N T :�.c��, �` u �(�i h' �C�n}�,_���>rv�`'�'HO1V�: �C'rSL�'%��I' �'r.��� <br /> CONTACT PERSON: ln r-� � ����' r 1V10BIL�/PAGrER: j„6'i 2 �'><'�'.�/�r� <br /> �t.nvG Annx�ss• �. %�i N��� �a� ���. � c�zy: ��,,,;�,`r���_ z�:�� 3 � � <br /> STATE LICENSE: �}.�p16�{j�5 <br /> ARCH7TECT/ENGINEE�t: PHOI\'E: <br /> iV1AILING ADDItESS: CITY: zTP: <br /> NAl�: R�GISTRAT�QN# � <br /> �'YP� OF WORK: New Addicion Accessory Structure <br /> Move RemodeUAlteration_� Land Alteration <br /> _.- <br /> PROpOSED WORk (describe in detai�: %�'���' d�f �n��_ r��'�� ��' r'�:.� <br /> �,��(; C��� lC'�:� P, ��,�';.�" /'�-�f �.vE�� „I <br /> � � <br /> STO�tIES: I SQ.FEET OF�;ACH FL�OQk: <br /> NO. OF BEDROOMS: GARAG� STALLS: ATT. llET. <br /> ESTTMAT'�D COl\'STRUCTIQN''VALUA'�fON(excluding land): $ `1 S<�� ���� <br /> I hereby apply for a buildin�pemzit and I acknowledge that the information above is complete and <br /> accurate; that the work wiU be in conformance with the ordiz�ances and codes of tlae Ciry and with <br /> the State Building Code; that I understand thi� is not a permit and work is not to start without a <br /> permit; and that che work will be in accordancz with the approved plan. <br /> -� f, <br /> APPLYCANT'S SIGNATURE� ;��,�� ��--� DAT'E: ; � Z x l��� - <br /> NOT,�'! Par�de Qf H2mes events require separate pernut approval by Police Deparhnent and <br /> City Council 60 days prior to the even�. Non permitted events will not be allowed. <br />