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Feb-14-2002 08:57am From—CITY OF ORONO +9522494616 T-675 P.002/002 F-321 <br /> / � � <br /> Tota.l Fee: $�c�' �t � �`� 'Date Received: � � ! `-i ` � 't'_ <br /> Entered By: ��";'�? permit#: ri�, `l�i< � <br /> �. . <br /> i; � ys., _� , ;, <br /> CYTY OF ORONO - �YTILDING� PERI��,ZIT APPLICATTpN <br /> All information must be submitted in full before plan re�iew will be started. <br /> (please prin� all informat,�,on) <br /> --------------------------------------------------------------------�--------- -------�--- .�--- -------------------- <br /> THE APPLICANT IS: (circle one) O WNER O 'ONTRACTOR � <br /> ,, <br /> JOB SITE AriDRESS: .�'- � �0 i • ,� ..�. ' ,��c.. ,' ZIP: _ �S�--l'�'�'� <br /> n <br /> NAME QF OWNER: � (�� ,�' �,.—PHON�: (home) -� - o -�a��� <br /> � (work) <br /> MAILING�ADDI2ESS. 'J�j'G T , � �` r ' <br /> i. '%.s.��� ,tC�, ..�''�CI71"Y:�?t.t.'r -i.L- GIP:� �� <br /> � /L <br /> , <br /> CONTRACTQR: ' <br /> Gt.�C M��.r��-._rxONE: ���-y'Uy_-���� <br /> CONTACT PEYtSO . ` ' , � " MOBIl.�/PAGER: �/��'.�- �I% <br /> MAiLING ADDRESS:1�� �� v���zr���CY'�Y: G���CL��.-�ZIP: ��"�� <br /> STATE LYCENSE: � ��ov�'7�Jy� <br /> 11--C_ �/'�1�--�� � ���2..�� ��ie���l%��/�tl���.�"i' <br /> � %/ ;� t <br /> A1tCTiYTECT/ENGINEER: �-v-- ���--� PHONE�: �>7�-�,/a 5��l'�D <br /> MAILING ADDRESS: ;�-7' �� ��i-����zi�c��-� CY'�"�': ;1�%� ' ' �-�LIP: �S}3�- <br /> L ;;` <br /> 1vAlV�: RE(��ISTRAT O V'� — <br /> T'Y'PE OF WORK: New C Addition Accessory Strucntre <br /> Move Remodel/Alteration T.,and Alteration <br /> PROPOSED WORK(descri6e in detai�: ��u� �'-���-��`�rc-;i�i�� -���r�.�.d��-r�-n--fi ��-� <br /> �� . . �-� �C�t� ,'cz',;�%��J <br /> STORIES: �- SQ. ��T OF EACH FLOO!I��tG- = /.i'c-',� <br /> NO. OF BEDROOMS: ��� GAR A,�J� STALLS: ATT. �_ DET. <br /> J <br /> ESTIMATED CONST1tYl'CTIpN VALUATION (excludi��xgland): $ )�`>z' L��'� � `y� <br /> I hereby apply for a buildin,g permit and T acknc�wledge that tlle inforn�ation above is complete and <br /> accurate; that the work will be in conformance with the ord"n iznces and codes of the Ciry and with <br /> the State Building Code; that T understand this is not a perr�:ut and work is not co stan vvithout a <br /> permit; and tliat the work will b�-as�Qr ce with the ap�proved plan. <br /> i ��� , <br /> � ,j <br /> APPLICAN'r'S SY((s NATURE � '' DATE; =='!'�� �''-'� <br /> :� �_ ---------,� ,---� <br /> J <br /> NOTE! P��de of Nnmes events require separrcte permit��pproval by Police Department and <br /> Ciry Council 60 days prior to the eveht. Non�permitted evants will not be allowed. <br />