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,; t"I;`!',1� <br /> C i TY 0 F ORQNO �� �Q��,`��� b12249461 b 08/31/99 10:23 � :01/03 NO:429 <br /> , �:rj - ` ���� <br /> � h � Total Pce: $ �;;_ '.,�u� Date Received: <br /> � Entcred By: � Perstut#: <br /> -���f� <br /> v-��� �� ` ��� CITY' C3F" ORONO - B�'�D�TG PERMIT APPLICAT'ION <br /> , <br /> ��� <br /> AlI informa�.on must be subiuitted in f1uU be�ore plan review will be �tarted. <br /> (ptease print ad! �t�f'vrma�rion) <br /> THE AP�'LICAN`I' IS;��^_(circle one)^ OWNE:R QR�C�NTRAC�--�--H��-�-�------�--�- <br /> ' "j1�.D.ct) � �i���,�' �� ` `" <br /> JClH SITE A�DItESS: ,��. `f '�� ; <br /> , ��/ �_ '/73.� <br /> NAM� 4F �'1WNER: �(���r ��' /'i�. PHONE: (homc) �� �` ///� <br /> (wark) <br /> � n�J�Ii.,r�r�i�nnrt�'SS: r���' C'/�,�J�-L%;��) � �'�' CI�I�'�': ��,��,6�11�1 7aIP:,�=-�;� <br /> cQrrrx�c�rc�x: ' � - '' , �►�arr�: �l<<�.�-� ��`��-�33� <br /> CONTACT PERSQN: � � Q�TLE/PAGER• . <br /> r�u.nv��nbx�ss:��r�g,u�ti_ �. crr�: 6� c,n zrp: ��,�_S' <br /> � STA.T� LICEN5E: �`��r�, �,�1�i�f , .� <br /> A�LC��T�I"TlENGINEER: riIiONE: � <br /> 1VIAILII+iG ADDRFSS: CITY: ZIP: ,_,_ <br /> NANiE;c � REGISTRA'i'I�N!� <br /> T'YPE OF WORK: New Additian Accessory Struature <br /> Mavc RemodellAluratioA Larut Alterat�an <br /> �� <br /> �, � ��� � � � <br /> PAUPC)SELI�VORK(de�cribe�n c�etc�i�: ,,,� �t ',i r1�;�.c ;Ls1� �.�-� �- i C�� i <br /> ST[?RIES: SQ.�ET OF EAC�FI.00R: <br /> NO. 4�' BEAR.UUMS: GARACE STALIS: AT'T. �„�, DET.� <br /> ESTIMATED CONSTRUC'�'ION VALUATION (excluding land): S�� , G O <br /> I tureby �pgiy for a building pexmit and I acknowicdge that the information a�ove is camplctc Anc� <br /> accurate; that r�re work wili be in confpzmance with the ordinances and cades of the City and with <br /> thz St�te Buitding Cade; that I unclerstand this is nat a permit and wc�rk is not to start withaut a <br /> permit; and that the work will b� i ccardance with the app ved plan. <br /> � ( - <br /> APPLICANT'S SIGNATY3RE: �.�k � �1 I�ATEs ������(� �. <br /> ly'Qr,�1 pa de Hnmes events r�equire se,parate per�mit approval by Poltce l)epat�mettt and <br /> City CouncfY 60 days prtar to the evertt. Nan perrnitted events will not he aliowed. <br /> 5 <br />