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Au�-26-2002 11:48am From-CITY OF ORONO +Q622494616 T-906 P.001/002 F-693 <br /> Total Fee: $ Date rtecei�ved: _ <br /> Entered By: Permit#: <br /> cY� oF o�o�ro - BL�LDING P�R1V�T AP�'�.ICATION <br /> All informatian must b� su�rnitted in full before plan review will be started. <br /> . . . <br /> (please pnnt adl infamrat�on � <br /> ���----------------------------�-- ---=__�----------�}-------T---------�_ <br /> T�IE APpLICANT IS: (circle one) OWNER 4 C4NTR.ACTOR <br /> , <br /> JOS SI'�'E ADDR�SS: ���� �� �ftS��-�i � ZIP: � 3� <br /> AIVIE Q�' 4WN�R: "f�� l/�.�r� P�O1VE: (i�ome) J�2 �f' —���� <br /> N �� f . <br /> , (work) _ <br /> ME�I�LING ADAR�SS: ` c' '�"l5J �k35�--r �� C�TX: G���`t: ZIP:,��'�,,, <br /> C(]NTRACTOIt: V�i � � ' <br /> 'r-S?czuc���n� PxoxE:(��o �33-3��c� <br /> CONTACT P�itS4N: t 5c b.cl� MaBlZE/PACER: — � �� cF�'"` <br /> NTAILIN�AbDRFSS: � <br /> CITY: '�� ,� ZYP:.S_,S`�z„� `� <br /> STATE LICENS�: �# -���� � <br /> A.�tC�TECT/ENGINEER: PHONE: <br /> � MAI.LIl�IG A:DDRESS; CITY: ZIP: . <br /> NA1V�: REG�IS�.'RATION# <br /> .r+Yp� p� Wpgg; N�w Additian Accessory Suucture <br /> �o�,� Remodel/Alteration Land Aheration____�_ <br /> � <br /> � ', ` �� �� �� i '`�`� <br /> PRQP�SE QRK(describe in detai�: <br /> � � �� � �� � <br /> STOR�S: SQ.�T OF F{ACH FY.OQR: <br /> Np. QF BEDROOMS: � G�ARAGE STALLS: ATT. DET. <br /> ESTIMATED C4NS7.'RUCTIQN VAY.YJATION(excluding land): $ ,��� �;��% <br /> T hereby apply for a building permit and Y a�cknawledge that the informatian above is compleie an�l <br /> accurate; that die work will be in canfarmance with the ordinances and codes of the City and with <br /> the State Building Code; that I unde�ys chis is not a permit and work is not to start withaut a <br /> permit; and that tb.e work will be ' a. rdance with the oved plan. <br /> --, <br /> AP <br /> PT.ICaNT�S SIGNATURE: � � � ' DATE: � �(d � <br /> NQrE! � � events require separate permrt approval bY Police Department and <br /> City Council 60 duys prior tn the event. N�n-permitted events will not be alIowed. <br />