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��r��`����� <br /> 09I17/2001 12:55 6128088846 �� ABC PAGE 61/e2 <br /> '� Aua-1�-2�a1 `�8:23am From-C1TY OF ORONO �93t24B4616 T-6B5 P.002/003 F-61T <br /> �3 �a „ <br /> . � �/,� � ���` Date Received.• i/�'� -(;/ <br /> . . Toral �ee: �_ � Permit�: '�� S C� <br /> Entered By: <br /> � �:y��`��,j �-�"'-l� <br /> CITY OF OR+ONQ - BUiLDI�TG PERMIT APPLYCATION <br /> . All informat�on must be submitted in full befare plan review will be started• <br /> • � {please print��il it�formution) __w�__ w <br /> ---------�----_.._��_-- <br /> ..____.____�_-- __. _ — <br /> Tf,� APPLICANT IS: (ci�cle one) O�NER C�NTREICTOR <br /> JOB SITE ADDRESS: ,,�c,�- zir: Ss� � <br /> PHONE: (I�ome) � sL � I-�7y <br /> P�1t1� OF O'WrIT�R: ��i��� :��;�� _— (worl�C d2� 3 ZS'`l7� -- <br /> riiA�II.rNG A�DRFSS: 5�I/��- . CI'TX: ZYP: <br /> Cd1�ITRAC'rOR: Mtr; ' � Co� ror�rs�cPHO1VE: C�ts�-� 7U?�6�Sq � M�'°g`f <br /> CO�ACT PERSON:,[�L-,.�,�s ltr MOBILEfPAG►ER:���,, �Z��`f//D _ <br /> ris�.unv�a�n�ss: 2y� a .��A� s ciz�: G�l'lh� _2rn; S�'i� <br /> STAT'E LTCENSE: �2 0,16°13 g ' <br /> ARCHX'Y`ECT/ENGINEER: PHONE: <br /> �1�1AiLING ADDRESS: _CITX: ZYP: <br /> N�; I,2EGI5TR.A.TYON# - <br /> ��p� �F���; N�W� Addition Accessory 5tntcnue, <br /> Move �tcmodeUAlceradon Land Alteration <br /> PROpOSED WORK (describe in de�a��: ���^dV'�- o�� �• of <br /> 9'�ORY�S; �„_.__ �Q.FEET OF F.ACH�FLOOR: - <br /> NO. OF$�DROOMS: ?. _ G�AR4GE STA�LS: ATT. r 1�ET. <br /> �STIMAT�D CONSTRUCTION VALUA'I`[ON (excluding lan�: $l�-,� <br /> 1 hcrcby apply for a buildir.b permit and I acknowledge that the iaformation above is complete and <br /> aecurate; t1�at th�work w�l be in eonforatance with tbe ordi�nan.ces and codes of the Ciry and with <br /> the State Buildir� Code; tUa[I LtIIdCTSt3nd thi� iS IIOL 8 j�CiIIiit 3Ad w0i1C is IIOt TO 5t8IL wit1�0'ut 8 <br /> penait; and ttiat rhe work will be in accordancz with tbe approved plan. <br /> �pPLICAN�"S SXGNA'I'CTRE: '�,�_,;/�:`Y� DATE: 6 <br /> 1wOT,E! p��de nf Hom�� events require separate permit approval by Police Department and <br /> � Ci�y Councir 60 days prior to the event. Non permitted events wiil not be allowed. <br />