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CITY OF ORONO � 612249461b 03/G1/Oa 13:33 � :C2/03 NQ:478 <br /> � � <br /> T�tal Fee: $ Date Rcc�.ived: <br /> ____.. .� <br /> � �' �tl[BI'�C1 By': � Pt2I111I�: �(�' .�-,.I/ ') <br /> CITX aF ORONQ - BUII.D�IG PERMIT APPL�C�T�(�N <br /> AJ] information must bc aubmitE�d in full beforr plan rcview wili bc started. <br /> (please print atl i�'nrnwtivn) <br /> T'HE AFPLICANT IS: {circle one) +�WNEIt U�i GONTR.ACTOR <br /> dO�B STTE� ADrDItESS: .�; C.�C_:C_� ��C'�`�C� 4 1 I ��_�� _ ZTP; <br /> , � �� <br /> NAME IJF OWNER; ����'�'Y\ � �,V ����: � PH4IV�: (Yyome)� <br /> (work) <br /> MdILIIYG ADDRES�c CITY: ZIP• <br /> CONT'RACTOR: �1,�,��._��- �.,��:����"i u��_� PHONE: �'"';.� _. �1,� ` _�`,C,C�.O <br /> CONTAC'�'P��'!S(7N.(`' ��, ��� i n G..l �'�� MQBIGEIPAGER: <br /> ZVIIA,I�.L'�TG ADDR.�SS:��;,3 CX'I'Y: '� � • ZIP: �;=3_� ) <br /> 9TATE L�CENS �': � :,tCr 13_� l. _C� <br /> ARCHITECT/ENGINEER: PHO1YEc <br /> 1�L4ILL'�T�A��R�S3: CITY: ZIP:� <br /> NANi�: �_REGI�STR.ATION� — <br /> TY'PE OF W(7RK: New Addition� Accessory 5trucnue <br /> __. <br /> Move Remodel/Atceracion Land Alceration <br /> ,�, ;� <br /> pROPOS�D WURK{describe in detai�: ��,_`�\ ;��� - <br /> STpRI��: SQ.FEET t)F EACH�'Y,�OR <br /> �vO. oF �E�RoOMs: ,� G�G� STa�.Ls: ATT. D�r. <br /> ESTINl�'XT� C4NSTRUCTION VALUATI01� (excluding iand): $_`T'"��� _� _ <br /> I hereby apply far��uilding pernut and I acknawtedge that the information above is complete and <br /> accurate, thac t�e watk wi11 be in conformance with the nrdinances and codes of the Ciry �nd with <br /> #hG St�te Building Code; that I understand this fs nat a permit and work fs not ta siart wlthout a <br /> perc�it; ar�d that the work will be in accordance wit�a the agproved plan. <br /> �� � � <br /> APPLXCANT'S SIGNATURE: I ' � �' �LC.-`— DATE: _;",� . <br /> ��� , <br /> NOTE! Parade af l�o�events require separate permit appraval6y Police Departm�nt and <br /> C�tty Cor�ncFl d0 days pr�ur to the �vtnt, Non perm#ttd events will not be allowed. <br />