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May-18-2001 10:50am From-CITY Of ORONO � ����
<br /> +8�124846}�r F-a�l P �Oi/002 F-ODB
<br /> Total Fee: $
<br /> Enterec� By; Date Received:.
<br /> � Permit#l:
<br /> ' CIT`Y aF Q8Q1�p, g�I,�IltiT�PE
<br /> �T�'1""Y-IGA,TYON
<br /> . A1I inft�tmatiou musf 6�suY�mifted fn full before lan review
<br /> � wili be started.
<br /> (please-pri�t all tnformatiorr�
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<br /> ---�.._.,w------....,.�-------
<br /> T`I�A�'PY,TCAN'T IS: {circle one. r -------�-----__�_�—
<br /> � aWi�iER- CONTRACTOR
<br /> Jt3$SIT� tiDI3RE5�S: �� ��.,x,�,_
<br /> —,�...��c�,c' `�a- Zig: ,
<br /> ����il
<br /> hTAN�Q�'CIWI\TEK: J�:h� �- l.L..,,n r�
<br /> — � �•tilC�rt,+-1 �HONE: �i�e) e��_���rl
<br /> MA.LLING ADriR�SS: � f"`oFk}
<br /> l�i ;i ('�'�0 7 � � S� CFI'Y: ��c�1�____ZTP:c-��� -�
<br /> rt��
<br /> ca�iT�ACTi OYt: i�l.��,v w.�Z l, v� �c,c \-,1��� Y�c �,
<br /> C0�1'I`AC'rPERSUNr.��n�:,rtv,ir�, �'HONE: `�-� , � o-,_L,��7
<br /> MAII.11�TG A�I�DRESS. c:� MOSI�IPAGE�;
<br /> �5.:�_ � ��Y �,;� � CITY: �y"lc,'�r�,��, ��� , , ;-' �
<br /> STATE LIeE�TSE: #�- Z�Z�-t k��,�� Zg' -��--.�
<br /> ARGHITECTiENG,IlYEER - F80YE:
<br /> MAILING ADDB.�,SS: �I�'Y:
<br /> N�.1�IE: ZII':
<br /> REGT�TR.4TION}Y
<br /> TYP�OF W61�K: New Addicion
<br /> Move Accessor��u�ture
<br /> RemodeUAlcer�Eion Land�Iteration
<br /> PRO�'OSED VuO�{�esc-r'ibe tn-dgtui�; , �ey�t�ic C .� -- —
<br /> _ _< <vlrw � r ;;,,n��.
<br /> STORIES: SQ.�'EET O�'-�A�H FLt�QB�
<br /> NO. UF BEDROQMS: � GARAGE STA�;I,,S; �AT'F: . �}��,. -•>_. . :. . . . .
<br /> ��'ST�1'ED-C4�S��J�'FiQ��'�'�k�,�}�'gION�(t�luciingland�: .$ � ��, -��.,
<br /> I hereby appty for a buiIding pernut.and I ac�aiowledae that the-information above is complete and
<br /> accurate; tI�at the.work wi11 t�e in confarmanc� wi��e ordinances aad codes��e Ciry and with
<br /> the Scate Building Code;.that I undezstand thi�u��a_p������� }s aai to start without a
<br /> pertnit; and that the work v�rill be.��ccord�r�� v��#the approved plau.
<br /> APP��CAN'T'S-S��FA'F�3RE: } � :
<br /> '' �� DA'T� �� t' �C��
<br /> NOTE! 1'cnade o I�l'-nmp� `
<br /> --,�.� events require sepa�ute perncit approvat by,Police Department and
<br /> ' �ty Counci160 days prior to the event. Non p�tert eye�u�,ill not be allowed.
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