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CITY ,OF , ORONO � 61247305�0 04/28/98 07:33 � :02/03 N0:422 <br /> y . <br /> ' 'T`otal Fae: $ "f a�� -��' Dat� Received: <br /> Enter�d By: �� Pernnit#: �U l <br /> C��X OF ORON4 - BUII.,DIl`1G PERMIT APPL�CATION <br /> A11 ir�format�on must be subrnitted in ful� before pian review will be started. <br /> {plense print nll informatfon) <br /> THE APPLTCANT IS: (ci�ele ane)� O'WN£R OR C�4NTRACTOR <br /> JOB SIT'E ApD�SS: 15 yD �����s P� � z�: _ <br /> . � <br /> x� o� owlv�x: 1�K -� �J ��us�R _ ��or�: m��e} ���. -�i �� <br /> . <br /> (work> <br /> MAII.�NG ADDR.ESS: _j yr� 5_ GJ�,IZNe�.�a�� CITY: M;'^.,,, z �R�s� �TP: S 5 j��/ <br /> � F�[Ox�: �7 3-5 y_3 S <br /> CUNi`RACTOR: S��e�N�� f Kv��e�i�,y.,� - <br /> CON'TAC�'PER50N: ..)� f , ,L - MOBILE/P A G E R: �/y-S/l3 � s 3�_S-�'31 <br /> MAIL�IG ADDRESS: ��lG C�u ti�; �Q lf�I CITY: �v���a ZIP: 5S3`�� <br /> gTA1T LXCENSE: # :�,7� / <br /> .^ FA� 4'13-�os�b <br /> . � � f T,�(�,��y/ ��',� P�iOI�IE: �'l 7 3 �s 4�� <br /> AYtC�iIT�;CT/ENGINT�ER. ����ti�,�t ; ,' <br /> 11�tA�.ILING ADARESS• 3C/v C�„� � CY`�: 'a �c ZIP:S53�/ <br /> NANi�: �r -� /Y]�Ph�Rso,,� REGISTRA ION /� <br /> TYP� OF W4RK: New X Addition Acc,�ssory Structure <br /> Move RemadellAlteration Land Alteration �� <br /> �RpPUSED WUI�K(describe tn detai�: ��u� �� v�����,�oti �� K � s����y <br /> .�r���t� a,v�� a �z�'u���a� R�c �- <br /> �TCIRIF.S; � SQ. FEET OF EACH FLO()R: 4�� _ �5�� l'�a i�r/— � /.�3 U,oP�R 3,2�� <br /> N�. OF BEDRUOMS: � GARAGE STA�,LS: AT�'. 3 D E T. 2 <br /> �STIMA'1'�D CON517.tUCTiON VALIJATION (eacd�uding land): $ � �U�lv�o�-y <br /> I h�rcby apgly for a buildin�permit and I acknowledge that thc information above is complet� and <br /> accur�te; �at the work wilt be in conf'orna.ance with the ordinances and codes of the Ciry a.nd with <br /> the State Buildiang Code; that I understand this is not a perm.it arid work is not to s[art without a <br /> pernut; and Chat the work will be in accordance with the approved plan. <br /> � y � <br /> APPLICeANT'S SIGNA,TURE: ��'( ��TE= � <br /> NOT�! �'�d�Rf��� Py��ts requ��e separate permit ttpprovai �iy Pol�ce Department and <br /> City Cou�tri! 60 days prtor to tha event. Non perntitted events wtll not be allowed. <br />