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, <br /> , 6�/1412063 03:13 9528088846 ABC INC PAGE 01 <br /> ` +952Z4Bd616 T•665 P.D02/003 F-61'f <br /> AuQ-23�2001 08:23am From^CITY OF ORONO <br /> �. � Date Received• �- /�-O�_ <br /> Total Fee: $ q 7 � <br /> Ent�ered By: _� Petmit#: .�D_�v(o�i � <br /> CITY OF ORONO - BUILDItrTG PE�tMIT A.�'PL�CAT'iON' <br /> , All information�must be subnutted in full b�efore pian re�ieR"wi�ll be started• <br /> - � (please princ�z11 ir�'orn�ation) � .^ <br /> _���.�.�----------......._�...�--- r' <br /> � APPLICANT IS: (circle one} OWNE'�t OR CONTRACTOR <br /> - . SS 3 �� <br /> J08 SITE AYIDItESS: _ �� r��;�� zn�. <br /> UW1�ER: I � �r�r�� pHaNE: (l�ome) 4'� �-1�3 ��-�i- <br /> rIAl1� iF (work) 6 � a41 <br /> tiiAII.m1�AnDR�ss: a��� r"a�r ✓`�cv . c1't'Y-o►r� 2�: ss3s <br /> _�_____ <br /> CaNI'RACTdR; � PHONE: C9$'� �o� -6 9�9 <br /> CONTAG"f PERSON: " MOBILEIPA,GER:„ 'L�- b , <br /> �,TNG ADn�S:�,(2��! �N;co r/�f v S. CITY: � v rrr�v��ZIP:�� <br /> sr����c�xs�: �_a�t 6�3�3 � <br /> ARCHY'1`ECTIENGINEE�t: PHONE: <br /> MAU�ING ADDRESS: CI'1'`Y: zTP: <br /> NAME: �GLSTRATION� <br /> Typ� 0� �rpg�; ly'ev�r Additi�a A.ccessory Structure <br /> �ovc RemadeUAlcetation Land Alteratian <br /> PR�POSED VVORK tdescribe in detain: Gc��d' ���-� <br /> STOYtIES: . - SQ.FEE'!'OF�;ACH�T.,OOR: <br /> NO. OF BEDROOMS: � GA�ItAG�STALLS: ATT. DET. <br /> UCTIQN'VALUAT[Ol�i{excladinglanc�: $_ � d+e�i.. — <br /> TSTIM�i'I'fiD CONSTR —�---� <br /> I hereby a�ply fvr a buildia�permit and I acknowledge th�t the information above is comple're and <br /> acCu=a�e; that the work wi11 be in confornaat�e with the urdi,t�anc�s and C°des of the C�ry an�i wit� <br /> the State Buildin8 Code; tt�at I uudcrstand this is not a permit aad wor� is nat to st�rt witt�out a <br /> perrnit; snd rhat the work will bc in accordanct with the apgroved plan. <br /> LICAN'�"S SI�NATURE: __��� DA7�: �� I��0�,3 <br /> APP <br /> ,�pT�i r e �,�,� eve»ts require separate pern=zt approval by Pol�ce Departrnent and <br /> � City Cou�cil d�days prior to thP event. Norr permitted events will not be aldowed. <br /> ��L a �� �`� �r� <br />