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62110/2809 09:11 6512876145 LAMPERT EXTERIORS PAGE 01l61 <br /> N h <br /> Total Fee: $ /�'f/•.J'r0 Date RecEived: /l� Da y <br /> Entered By; Permit#: —U� <br /> . C�TY O� ORONO - BLT.Q,DING PERMTr APPL�CATION <br /> . All information must be submitted in full before plan review will be started. <br /> (please print all informarion)� <br /> _------------------^------- ----- ---------, ---- ----- . -�_�.��.�t_...��R`�l�l.�o <br /> THE APPLICAIYT I�: (circle one) OWNER OR CONTItACTO Y � <br /> JOB STTE ,t�ADRESS: I ,�l'i v� zrn: 3 9 l <br /> NANIE OF OWNER: m CISW�l 1 rxor�: (�wr�ae) 95 a-SI73-37�1 <br /> (wark) <br /> MAII.INGADDRESS: ��a �he u �ha.,� ,��crrY: �, z�:SS3 L <br /> CONTRACTOR: �Y� .n�a rS pxorrE: (aS I- [� 5-3l��0 <br /> CONTACT PERSO�T: MOBILElPAGER: <br /> n�o�nvG anp�SS: I-�S� l rYra� r �r• _c�: ��� Ui �/I� z�: SS l/3 <br /> STATE LICENS'.E: # S(�,S'l� <br /> ARCI�'TECT/ENGIN�ER: ' PHONE: <br /> MA�ILLING ADDRESS- CITY: ZIP: <br /> NAl1�: REGISTRA,TION# <br /> T��� o� wa�: New Addition Accessory Stivctur� <br /> Move Remodel/Alteration ✓ Land Al,terarion <br /> PROPOSEA WO� (descrihe irc detail}: (o J n a� Q�. <br /> STORIES: SQ. FEET OF EACH FLOOR: � <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET, <br /> ESTIlVIATED CONS'I'RUCTION VALUA,TION(excluding�and): $ �QQ�, �0 <br /> I hereby apply �'or a building petan�it and I ac�owledge that th.e inforn�.ation above is coxnplete and <br /> accurate; that[he work will be in conformance with the ordinances and codes o�the City and wxth <br /> tlae State Building Code; that I understand this is not a permit and work is not to start without a <br /> permi,t; and that the work will be in accordance with the approved p1a.n. <br /> APPLICANT'S S�GNA1'LJRE: (.l� L/Cu'1 G(,��1 /2��TE: a�1 c�. 0�j <br /> NOTE! ra eve�ats require separate perntit upproval by PoYice Depa�rinent and <br /> City Council 60 days prior to the event. Non perntitted events will not be allowed. <br />