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� • ku�-23-2001 08:23am From-CITY OF ORONO +9522494616 T-685 P 002/003 F-617 <br /> � <br /> + Total Fee: $ 17ate Recei'ved: <br /> Entered By: Permit#: <br /> CITY O�' ORON� - BUII.,DI�G PERMIT APPLICATION <br /> All information must be submitted in full before plan review wilI be started. <br /> (please print��ll inforn�ation) <br /> TI� APPLYCAN� IS: (circle one) QWNER OR CONTRACTOR <br /> ' , �-�s} �� <br /> JOB SITE AriDRESS: ���� r��z�����ti z�: <br /> NA.ME OF 4'VS'I�'ER: .��.��s 'nU �'-e�v _'Y' PHONE: (home)��f'� ���.-w' ��}--,t- <br /> � � (work)(� ► � `13,�. -- �t 61 v <br /> �IAILTNG A.DD�2ESS: ����'`� r"c.t�'' ✓��� . CITY:v,�:r�-� ZIP: ��7 S� <br /> CONTRACT4R: .� � c_ __ PHON'E: C`r s�J �u '� -6 `i s"`t <br /> CONTACT PERSON: �,p,q,�l:a MOBILE/PAG�ER: �J;t'L- ���� �7,d?� <br /> MAIL.ING ADnRE,SS: /��Y nI:�c/lr r�4✓r S� CITY: !� �=r rrA✓�y l�._ZIP• s� 3 � "+� <br /> 5TATE L�CENSE: �{ ��I 6�� ��A '� <br /> ARCH7'Y'ECTIENGIIVEEI2: PHOI�'E: <br /> iViAILIl�rG�ADDRESS: CITY: zYP: <br /> N��: REGISTR.A.TYON# . <br /> TY�'� OF �'ORK: New Addition Accessary Structure <br /> Move RemodeUAlcerauon Land Alteration <br /> PROpOSED WORK(describe in de1a��: (,c��� ��G� ����✓hf�/ <br /> STQ1tIES: SQ.FEET 4F�;ACH F'i.00�t: <br /> 1�r0. OF BEDR04MS: GARAG� STALLS: ATT. llET. <br /> ESTIMA"T'E) <br /> CO\'STRUCTION VALUAZ'ION (exClud.i.ug land): S � �� <br /> I hereby apply for a buildin'permit and I ackaowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances a.nd codes of the Ciry and with <br /> the State Building Cade; that I understand rhi� is not a permit and work is not to start without a <br /> permi�; and that the vc�ork will be in accordancz with the approved plan. <br /> APPLYCANT'S SI�NATURE: ��y � DATE: o ' !7`d3 <br /> NOT,L�'! P�rade Q,f Nr�mes events require separate permit approval by Police Department and <br /> Gity Council 60 days prior to the event. Non permitted events will not be allowed. <br /> ���� a �� �9 �1'�a <br />