Laserfiche WebLink
05/19/2003 12:39 FAX 9529184021 REGIS CORP C�002 <br /> May-13-2003 07:52am Fro�-CITY OF ORONO +Q522494616 T-446 P.0�3/004 F-829 <br /> ` _ � _� � _ <br /> ' Total Fee: $ `r -�f�� � l' nate Received: �� �r�.3 .3 � <br /> Entered By: -T�"_1 ; - % P�rn�it#: 5/ Z c �c�, <br /> r . <br /> CY'I'Y O��'`��tONU '� �U.[�.,DING �'ERMIT APPLICATION <br /> All inPormatian must be submitted in full before pian ceview will be started. <br /> (please print all information) <br /> TH� APpY.YCANT IS: (crrcle one) OWNER OR COI�TRACTO� <br /> .�0� SIT� ADb�SS: �-'�� (� �UnwDO AKe.. ��': ,,� �� � <br /> NAN1E (}F OWZVE2t: 1�l�l�- �w �.� ��'�o pT�ONE: (home) �5 �- �����"���'� <br /> (work) �.SZ- `�'!�-� �-7 S�`� <br /> �ViA1LYNGr ADDRESS: .�f.��L= f�-�.� .��7�E CIT�1.'': ZA': <br /> CON'�RACTOR: ��'l 1'HONE: <br /> CO�TACT PERS0�1�: MOBYI,E/PAG�It.; <br /> MA�.ING ADDRESS: � CITY: ZT�': <br /> STATE LICENS�: # <br /> ARCY�YT�CT/EN�I���: ��` PHOIVE: � <br /> 1V�A ILYN'Gr ADDRESS: -- . CITY: Z7].': - <br /> rJA�; REGTSTItATION# __ <br /> �YP� OF WORT�: Ner�v Addicion Acc�ssory Structure ��C� <br /> Mo�vE: �Remodel/Alt�ration Land Alteration <br /> PROp4S�D V� �j�K describe in de�� ���� 7'�' � `� `�D �'� x�"`�� <br /> T ( n• � � <br /> i - � vt .�- L_ .�.,�c. �. • a� l C' rt•��r✓ � w� <br /> .� �i.- .f�y �.,l�=1 /jt ` "T Gr.- � !/d�,�..,..."��.,. . <br /> STO� . �Q.FEET OF EAC�Y FLOOR: -- _ __ <br /> NQ. OF BEAROOMS: GARAGE STALLS: ATT. , <br /> �STIMATEA CONS'�'RUC7�`ION V'AY.YJATION (excluding land)• $ <br /> I hereby apply t'or a buitd'tng pemiit and Y acknowledge that the info tion abov� is com and <br /> accurate; that Ch�wc>rk will be in conformance vvith�ihe ordinances and and with <br /> rhe State Building C:ode; chat I underscand chis is not a pexmic and work is not to start wirl�out a <br /> pernlit; and that the �vork will be in accor nc� with the approved plan. <br /> � , <br /> A.PPLYCANT'S SI�N'A1'U.[tE; . �- �._...' nA,�'E: :> �� �,�� . <br /> NOTL�'� P�rade ofl�rr� events reqzrire separute permit approval by Police]�eparhnent and <br /> City Counc�l 60 da;vs prior to the event. 1V'on perrrtitted events wrll not be allowed. <br />