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a�?�� F,u�-Z3-2001 08;23am From-CITY OF ORONO +g5224E4616 T-685 P.002/003 F-617 <br /> U , <br /> � Total Fee: $ T7ate Received: <br /> � <br /> Entered By: Permit#: <br /> CITX O�' ORONO - BUILDIKG PE1tMIrC APP�.ICATION <br /> All inFormatian must be submitted in full before plan reYiew will be started. <br /> (please print c�ll infornlarion) <br /> ------------------------------_______� �_���..___��--- --_-----------___.._-----= <br /> TI�E A.FPLYCANI' IS: (circle one) O�VNER COPITR.ACTOR <br /> J4g SITE ADDRESS: ��/77 �.r �.,Ct ZIP: SS��(� <br /> NA1V� OF 4'WI�'ER: �t�_�-'1-ti 1 i1��;Y�' PHONE: (liome) �q sL �f 7/-37� <br /> (work)�t l 2 3 ZS-�7 i <br /> 1�IA.ILING ADbRFSS: �/�/�� CITY• ZIP: <br /> CONTRACTOR: M��, � Co��rac�arsZ�PHONE: ��sZ� 7U?-6YSq - N`ts`=�'`� <br /> CONTACT PERSON:�' L�,�-, � le_r 1VIOBILE/PAGrER: �6� 3 ZSs'S�//D <br /> MA1.i..li�IGADnRESs:,�ZZ`�7 /(l,'�al���' tk S. CITY: QUr-nsv,�lc_ � ZIF• �S'`"�`3 <br /> STATE LTCENSE: � Zo 16°�3 g 3 <br /> ARCT�TECT/ENGINEE�t: PHOI\'E: <br /> �1AILIl�'G�ADDRESS: CITY: 'L�P: <br /> NA,ME: REGISTRATY4N# � <br /> TYYE OF WORI�: New � Addition Accessory Structure <br /> Move Remodel/Alceration La.nd Alteration <br /> PROPOSED WORK (describe in delai�: �e�^dU'�- o��la�� �2oof <br /> STO1tIES: �_ SQ.FEET OF�;ACH FLOO�2: <br /> NO. OF BEDROOMS: �_ GARAG� STALLS: A'I"Y'. / DET. <br /> ESTIMA'T'ED COI�'STRUCTION'VALUA'I�fON(exclud.ing tand): $`/f 5od _ <br /> I hereby apply for a buildi.n�permit a�d I acknowledge thaL the information above is complete and <br /> accurate; that the work wiU be in conformance with the ordinan.ces and codes of the City and with <br /> the State Building Code; that I understand thi� is not a permit and work is not to start without a <br /> permit; and that the work will be in accordancz with the appr��ved plan. <br /> APPLYCANT'S SIG�NATURE: �, • �:� DATE: � ��� <br /> NOTE! Parade Q,f Nomes events require separate permit approval by police Depan`ment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />