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Oct–Z3-20�3 10:1�am From–CITY OF ORONO ����' ����O�D� +95Z2494616 T-331 P.006/0�9 F-616 <br /> ' ' 3� 93 Dace Received: I D ��/G , <br /> Total Fee: $ �o <br /> En[ered By: � Permit#: l'��'r,c � <br /> �IT'Y �F OROi�iO - BUII�DYNG� PERMTT APPY.YCATION <br /> All information must be submitted in fu1l before plan review wili be started. <br /> (please�rinr all informution) <br /> 'I'�iE APPY.iCANT IS: (circle one) OWNER O CONTRACTOR <br /> ��,�vv <br /> �OB SITE ADDRESS: _ 2.5..55 �w�� d� I�r. ZIP:. �3'3S <br /> NAME OF OyVNER: S'�'ev� S c,l.�eb I H PHONE: (home) QS�`�f 7�o�`�� <br /> ,. � (work) 6�2- ��� �'9 `lc�_ <br /> NIA11.IlVG AnDRESs: �S � ••�••,r�,�1� d�'. CYTY: �,.,�2v�� zIP: s.3��6 <br /> CO\�T'RACTOR: S ,� ���-f t PHONE:_ 6 S�'�6 5F S -o.3 3/ <br /> COr�'T'ACT'PERSON: �y.v ,��•�6�.�, OBILE AGER: 6S!- � � �S�S <br /> 1VL4I�.ING ADD1tESS:�S�I T�•�sFe�<< !' . : S T: P�.�.•�.r ZIP:�/�f <br /> ST�iI'E X.ICENSE: #��f �s�,+� e 6✓,�J <br /> ARC�ITECTIENG�INEER: � �1 PT30NE: <br /> MA.�II.INC AD171tESS: CITY� ZIP: <br /> N���: REGISTR.A.TION# <br /> TYP� OF W4lZK: New Additian � Accessory Sm�cture <br /> Move RemodellAltera�ion Land A2teratian <br /> FROPOSED'4VORK{desctzbe in detai�: o?a�Xi2 ' •Q uc.�«� i9 �/�� �D �-�"'—^ <br /> � X,,,L, � �d a�..� <br /> ST4�IES: ___a�___ SQ. �EET 4�'EACH�'L00�2: `t�d'� s F�',, c/c�,-���v <br /> NO. O� SEDROOMS: � • GARAGE STALT.S: ATT. ?� D T. <br /> W <br /> ES'T�IA`i'En CONSTRUCTIO�I VALUATIO�I (e7ccluding land): � "— <br /> I hereby apply for a buildin� pem�it and I acknawledge that the informatian above is complete and <br /> accurate; that the work will be in canfoz�nance with the ordinances and codes of the City and with <br /> the STate Building Code; that I understand this is not a germit and wark is not to start without a <br /> permit; and that the work wiR be in accordance with the approved plan. <br /> APPLTCAN'Y''S SIGNATY3YtE: .�. � AATE: �� 3 <br /> NOT�'! Pr�rad� o�Flotr� events require separate pernzit approval by Potice De�artmerai und <br /> Ci�y Council 60 days prior ta the event. 1Van permitted events wilI not be atlowed. <br /> 5 <br />