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Sep-12-2002 01 :39pm From-CITY OF ORONO +9522494616 T-029 P.001/002 F-012 <br /> 'Y'otal Fee: $ Date Received: <br /> Lntered By: Permit#: , <br /> � � � ��,i CITX 4F ORONO - B'C�.bYNG PERMIT APP�,ICATY�N <br /> All information must be subnaitted en full befare plan review will be started. <br /> (please print all information) <br /> -___....__.._....,.__�__�_-__,._.._........--------------------------------------- ----�.. ----- _�,..._------------------ <br /> THE APFLICANT IS: (circle one) O'UV'N�R CONTI7ACTOR <br /> J�B SIT`E ADDRESS: ��I��x� ���_GC.� n�S �C����fil �,. �S �t <br /> NAIV� O�'OWNER: 1 � l f, C_ LI I 3 <br /> � ��,�� —- -�.�\ PH4NE: (hom�)� ti � � �C�� <br /> ,. � C ( ork) <br /> 1ViTA.�I,�iiG A�Y3R]ES�: ��� ��l ��,� r1�S��. �1�: '��Yl C� ZIP:_ ��� <br /> C4N''i'YtACTOR: � C� � `� �T�ONE: ��� ��\ �`1`��t''�� <br /> CONTACT PERSON: ��L C C�v u����OBr[.EIPAGER: <br /> MAILING ADDRESS:h�f�U �1�,V11.�U.'1-.-��'�2� CITY: � ZIP: SS I i<3, <br /> STA'Y'E LICENSE: #��;�;��-P����� � <br /> ARCHITECT/ENGINEE�: PHON�: <br /> MAILING ADDRESS: CITX: ZIP: <br /> NAM�: 1tEG�IS'T�tATION# � <br /> TYPE �F WQRK: N'ew Addition Accessory St�ucture <br /> Move Remodel/Alteration Land Alteration <br /> PROPOS�D WO�K(describe in detain: �1(�G;iICJI�Q. � 1 ��1�'1�.��� <br /> STORIES: SQ.FEET OF EACH�'L�OR: <br /> N'O. OF BEDRaQMS: G�A�tACx� STALLS: ATT. D�T. <br /> ESTIMATED CQNSTRUCTION VALUATI0�1 (excluding lan�: $ �,� ��-,��-%� . ��� <br /> I hereby apply for a building permit and I acknovc+ledge that the information above is complete and <br /> accura�e; �hat�work wi11 be in canformance with the ordi.nances and codes of the City and with <br /> the State Building Code; that T understand this is not a permit and work is not to start vvithout a <br /> permit; aAd tha.t the work will be in accordance �c�vitlx ihe appraved plan. <br /> �1 ., , <br /> A�PLICANT'S SYGrNA . � �v', �' '�.�.���� ���V�, ; � �����'� DA'TE: C'E' - ��� a � v�� <br /> 1V'OTE! Par � of Home� events require separate permit approval by Polr.ce Department and <br /> Cr.ly Cauncil 60 days prior ta the event. N'nn pernutted events will not be allowed. <br />