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Jun-JUN. 1.2�a1�m 11�35AMI iY OfSPECIALIZED TURF +962Z484616 T-INO.S99IOi/�OP.2i10p <br /> IT�� F�= � Date Received: ��'J�� �C'1 <br /> . <br /> ' Entered By: �f- °3 � Permit#: <br /> � /1.D �I�'`'��' � -i�-�� <br /> CITY OF ORONO - BUII�DING PE.R11�T APPLICATION <br /> � r,� ti�,� . <br /> � �`��o�� A1I it��ormatio ust be submitted in �'ull bofoxe plan revrew will be started. <br /> 1 (please print all infornration) <br /> °�---------------------. �_ __� �..�.__ ------- -- --- <br /> ----�- --- <br /> a �''r"" � 'CANT . (circle one) CIVVNER 0 ONT�2ACTOR <br /> X <br /> ��,�'- �Dx�Ss: I�0 - �,� ��c AN� Z�: <br /> � � <br /> � n <br /> ,\,� x .� VNER: 1�2,4�O �iV A L S l-4 PH�NE: me) ��SZ-� �/9 ' O y�6 <br /> ��' �' ���� (worl�l <br /> .J� 0��` ;�►x�ss: 169so �l, rnA�R a�. . crr�: Fds� ►� z�: .�s yy <br /> ��� � ���� <br /> ti � <br /> � <br /> .,��xac�roR: � ,�m � � � ��.� � �7- 8 �� <br /> CONTI�CTPF�RSON: �e��r Qo5 S �``''4'� 3�3 - 37 S <br /> MAILING ADDXt�SS: 1 Z 2 S 5 ►a��w S�.S. ,/(� � � p� .� �: Ss 33 <br /> NSE: �` 0 J�-�'`��U - <br /> STATE LICE #�a Z �? y16 �u <br /> } � � <br /> . _�—,�w.+�M ( ��p ;l��� <br /> � <br /> �rc�n�ER: �Q�S� k10ap. . �, �l S' �� � 2�+ �t'� <br /> � ; x�ss: P, o. e ox l�� �� c� z�: ��3 s <br /> � � b-'� ���[!�t �'� � � ��S �'�12 �qg . <br /> � � � <br /> � �) � �� <br /> o�' � <br /> �'' LZ�: New X Add��ion �� � � �y� ure <br /> , <br /> � � 4ove �emodell�U,terai �1�'� ion '��J <br /> v /�,� � �\�'` �� <br /> u � <br /> 'ORK(de5cri8e in detai�: �� ��17��3 0 !,( ��' /F'�� �� �v�� <br /> �*-`v �' -� <br /> �_ 1'. J�,� G <br /> `�� C} � � <br /> \�. O <br /> STOR�S: SQ. FEET O�E�iC�I FLOOR: � �,^''��� <br /> NO. OF' BEDROOMS: GARAGE STALLS: ATT, DE1._� � "J°��r�� <br /> ESTIMATED CONSTRUCTION VALUATYON'(excludin �and): $ I O OG� `l,E� <br /> g � ���� <br /> �� �� <br /> I her�by apply for a b�i�d�pera1it and I aclmowledge rhat the information above is coznplete and -�� �k <br /> A��,, �`�'`� <br /> acCui�.te; tbat the work will be in conforman.ce wi[h�e ordinan�es �d codes of the Ciry and ' <br /> the 5cate Bt�ildiag Code; that I understand this is not a permit and work is not to start witho t a �, � G� <br /> permit; and that the work will be in aceoz�d.a�ce w' the approved plan. . �� <br /> - �c� �c�'t <br /> APPLICANT'S SIGNAT'UR'E: DATE: � � y �/ ';�"� �° <br /> ,r� <br /> �l d �'\V <br /> ) <br /> NOTE! �arade a,��lomes events require separate per�Yt approvaT by .�olice pepartment d <br /> � City Cer�neil 60 days psior to the event. Non permitted events will not be alZowed. <br />