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Fab-02-2010 09:16am From-CITY OF ORONO +9522494616 T-079 P.002/p03 F-619
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<br /> � Total Fee: �_.c��Cr .77 .�- o�-•�� -
<br /> — ]7ate Rec�ived: / �.O/�
<br /> Entered By: Permit#: ��/ —
<br /> czrY o� oz�arra - �u�z,��v��r�i� �F�;�c,��oiv �
<br /> ,. , All infarmation:must be.�s�ubr�itted i� frxll..beFar.��,pI�q.revie�will be started,
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<br /> ' � . �, ..(p�eas�print,c�ll�inform4tzo . � �
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<br /> � �iPPLICAN'T ,IS�: � � ,�_'.,�'` �
<br /> (ctrcle one oV�NER 0� W ONTR�ICTOR
<br /> JOB S�ADDXtF,55: ��5� f]��Y�' �,; �
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<br /> N.a1Nl� OF UWNh.�: � ` FT�QNE. (h�me) � �// ' U/ 1
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<br /> , �VIAII.�N��AnDRZ5.S: , `, CITY:{work) ! ,�t9l�� �
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<br /> MA�,IIVG A�DRE.SS:., ,�s�8' s g�a�►a, I�S,�c�:.�..CI'�'3�': � , �—.�:_�
<br /> S'�'A,'z'E LYCE.N9E: # 7 ' � - ; �"
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<br /> AItCT3I1'ECT/ENGIl1lEF'$�• . �;.� . . , . , ... . .. .:� ::�:�, �,;. >a.�r;� . �;
<br /> �1�,�,4,�[,�TG ADD�S9; � :�� �� �, . . CIT'9c��'U�•� �„��. .
<br /> NA�M�: „ _ ZIP: . �
<br /> " ' �k�xSZ`RA,.�(]N f� � � •
<br /> TXF� O� WORK: N�vu� Addition Acc�ssory Stnicxure
<br /> Move� . �Re�dellA.Iteration � ' La.n��A.l�ration
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<br /> PRUPt? 'VV'4RI�(de cribe an detai�: [/ � ) LU!/�q(�
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<br /> STfak�iE�S: SQ. �'L�'T QF E�C� +�.UU�:
<br /> NO. Q�+'BE�'lR,U4MS: • _....� G��A�,Cr�'S'�'AL,�,S: t��'T. DET.
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<br /> �ST�MATED COP�TST�UC�ON VAI,VAT�O�Y(e�c�udi�g la�ndJ: $�� ' U�
<br /> I]acreby aPp�Y for a building permit a�.d I ack�owledge t,�at the in��rma�ion abave is crn�plcte and
<br /> accurate; �18.t txte W0�]� WIII b�iii CQLf�OTxtL3TICe vVith t1� Oi�i:[18hc�s arid COdeS 0�th�Cit�r aIId,wlt�
<br /> ttze State Build.it�g Code; r.hat z���rstand�t�is is nAt a��ermit a.n� wor]�is not�to sta.rt wa,thout a
<br /> penaiit; and tha� rhe wark wi� be in accosd `wxtb�th�'ap xoved plan.
<br /> �.z��.lvx�s sr��vA�: � Q1d. l - �a�.a�: � 1 �p .
<br /> NOT.�� ,Par��,ade_� l�n o� events requ' a scparate permit a,�,prnyal by Poltce De
<br /> City Council 60 days priar ta the event. Non perniatted'eve�tts will not he dllawe����d
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