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��TY OF ORONO � 6124730510 09/24/96 14:00 � :02/03 N0:522 <br /> _ _ � <br /> Tota1 Fee: $ Dato Rec�ived: <br /> Entered By: Permit�1: <br /> CYTY OF ORUNO - BUILDING P�RMIT APPLICAI'ION <br /> All ir��ormatlon must 6e submitted in full before plan review will be started. <br /> � , � �please print all informatton) <br /> _..�--------------- - _ .- ----___.___ __.- - -...�------------.___--------.-____-�----------------------- <br /> TH� APPT:ICANT IS: (circle one) O'WNER O CONTRACTOR ; <br /> �. <br /> . , <br /> , ,,, <br /> � JOB SITE ADDRESS: ���C�' �G�l ��U�,����l�IP: ������ C_D ..�„ <br /> �, NE111�IE OF OWNER: ��( ��1� Q. C��r�_ PHONE: (home)(�la��I�5�69��j <br /> (work) <br /> MAILING ADDRESS: � CITY: �.� C�'r�� ZIP:_�>��S(.o <br /> � � � (,l.� . <br /> CONTRACT4R: �enewa� B� A�e..�Sezv E; � � <br /> 350 -�3�� Au.a.NE. ' <br /> CONTACT PERSON:. �:dl�.�t mru ss4 3a t� . <br /> MAII.1NG ADDRES3, cc��a� soa•y'��'� ZIP. <br /> ���'AT� LICENSE: N ��c..�riSe� 0�0130�83 <br /> . ARCHYTF.CT/F.rTG1NEER: PHONF: <br /> MAILING A.DDRESS: CiTY: ZIP: <br /> NAME: REGISTRATIUN# <br /> TYPT OF"WVORK: New Addition Accessory Structur� <br /> Move Remodel/Alteratian�_ Land Alteration <br /> PROPOSED VVURK(describe in detai�: i.�Y _ �,v� t��� <br /> —r f � <br /> ! �� , �T,i�.1 ��� 6� 1 - . <br /> ST4IZIES: SQ.FEET OF EACA FLOO�t: <br /> NO. OF BEDi�00MS: GARAGE STALLS: ATT. DET. <br /> FSTIMATED CONSTRUCTION VALUATION (excludfng lan�: $ �-{��O(� �� <br /> I hareby apply for a bullding permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and �odes of the City and with <br /> ' the Stxte Building Code; that I understand this is not a permit and work is not ta start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: � � �� ,�-E � ���� DA1"E: � � 1��"� �� <br /> � <br /> NOTE! P� � of Ha��s events requtre sepamte permit approval by Police Deparhieent and <br /> G�ily Counc�l 84 days prdor to the event. Nun perm�tted eveRts w�ll not be ollowed. <br /> RRCPIVPl� �'imn Cnn �A 1 ���A�( Drin� Tirnn Cnn �A i � A�D�� <br />