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Recelved: 4/ 7/03 70:42AM; +9622494676 -> ASPEN BUILDERS; Page 6 <br /> Apr-07-2003 09:25am From-CITY OF � +9522494616 T-219 P.006/007 F-198 <br /> Total Fee: $ ��/q 7 � bate Received: ��-//-G � _ <br /> Entered By: �_ f� Permit�: r� '�,?�'' <br /> � <br /> , �, � CITY IJ�' ORONO - BYJII-.DXNG 1'ERIVLTT APPLYCATIQN <br /> n �i ��� <br /> �� All information must be submittec� in Pull before plan review will be started. <br /> ,-, <br /> � C� (plense print all information) <br /> � ��� � ---------------- ---------�--------- <br /> __ ____________________.._____�_ <br /> ________________________________________ _ <br /> THE APPLICAN''C IS: (circle one) OWN�R O CONTRACTOR <br /> JOB SYTE AriDRESS: I r 'o I� r �Rc� ZIP: S� 3 S(� <br /> NAIVIE OF O�VN]�R: C�t�i C i T�: ' in�n ,i�tir�-�v� ��' PHONE: (home) a�SL- ��- i��r <br /> c�r Fa� ��Z- �+�� -3z�� <br /> MAILlNG AT)DRESS: . CIT'Y: ZIP:� <br /> CONTRACT0�2: �1�t��rJ ;3ct���F�?.S t iZE��DFi�l�pHONE: ���- ��C' - �� <br /> CONTACTP�I2SON: �TcR� �yA�- MOBILE/pAGETt: <br /> iv1AILYNG ADDRESS: 4��+y i s�4�%� �;i t�.� ��CITY: _ m i r�ti�� _ZIP: s_s3 k� <br /> STATE T.ICENS�: # c��l <br /> ARC�iITECT/ENG�INEE12:_/v`�� PY10NE: <br /> MAILING ADD�.ESS: � C�T�': ZIP: <br /> N��; REGISTX2ATI4N�t <br /> T'YP� OF WORJK: New Addition � Accessory Structure�� <br /> Move Remodel/Alteration Land Alteration <br /> P�tOPOSED W4��tK(describe in detai�: _ �✓'c �t r��•�l��i� � <br /> STO�S: C SQ. �EET 4F EACT�F�..00R: 3U D <br /> NO. O�' BEDROOMS: -�— GAR.AGE STAT,T.S: ATT. _� DET.t9- <br /> ESTTMATED C���1STlt�(JCT�ON VAL�(.1ATI4N (excluding land):' $ /(�,SUD. - <br /> Z hereby apply for a building permi[ and I acknowledge that the information above is complete and <br /> accura[e; that the work will be in conformanc;e with[he ordinances and codes of the Ciry and with <br /> che Scate Buildin�; Code; that I understand this is not a permit and work is noi to statt without a <br /> permi�; and that the work will be in accordance with the.approved plan. <br /> ;n �' , <br /> APPLTCANT''S SIGrNATI1R�: f�� � f'�` � DATE: ' 0 3 <br /> _ � <br /> NOTL�'.' ��� of Hom� events require separate permit approval by Police Depqrtment ar�d <br /> City Counci160 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />