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, CiTY OF ORONO � 6122494616 04/14/99 10:39 [�} :07/11 N0:635 <br /> . . � <br /> . 'I'oia't i�ce: a �� � U�te Received: ��� �� <br /> Entercd By: _ S ,� Permit M: i����? <br /> —� <br /> CITY �F QROl�I� - BUILDING PERMIT APPLYCATIUN <br /> ��t t�,�nr��tion m�st be �ubmitted !n tW!! before plan review wil! �ae �tarted. <br /> (plea�e prir�t att tnjorm�;:��,) <br /> T�IE APPi.ICMiT IS: (circle one) OWNER O CONTRACTOR <br /> JOB SITE ADDRESS: �Z.� ��a,�, ��o�,�, t' V.ZIP: ��' / <br /> w���r�, <br /> IYA� ��` O�VYI�R: ����—� ,c�.w`'.��N PHONE: (home) <br /> (work) <br /> MAILING ADDR�SF C�Z�� �C+►vdA�.� �. CITY: � ZIP: ��9 I <br /> � <br /> ��� <br /> CbNTRACTOR: Q,�(�, i � PHONE: �1+�'2��°�Cy- <br /> CQNTACT PERSUN: pZC� MOBIL�/PAGER:��'���q� <br /> lVIAII.ING ADDRFSS:'Z���'Q Q�'1►�� I ��� CITY: � ��.�;�ZIP: �'� a I <br /> STATE LYCENSE: N_�_ <br /> AReHITECT/ENGIiVEF.It: �'fiONE: <br /> MAILING ADDRFSS: CITY: ZIP: <br /> NAME: �-- - - REGISTRA7'ION�M <br /> TYPE UF WORI�: Ncw Addition Accessory Scnicnare <br /> Move Ramodel/Alteration Land Alteration <br /> �PR TOSEA WORK(ckscribe in detai�: _�C�,"� �YY1�Aa�� �ov�; �- <br /> _�iJ`rC�� ,_ "'�.�i�' <br /> ! � <br /> STOItIES: �____ SQ. F'�ET UF EA�H FLQOR: <br /> l�'O. OF BEDR�IMS: GARAGE STALLS: ATT. DET. <br /> �STIM�►TED i:t)NSFI'Rvi;TI�IV VALUATt�N (excfudine land): $ (,,��� <br /> i hereby apply for a building pennit and I ack.nowiedgc that the informa[ion above is complete and <br /> accurate; thst the work will he in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and wark is not to start without a <br /> permit; aild shat the work will be in aceordanct with the approved pla�. <br /> APPLICANT�S SiGNATURE: � nA�rE: � � <br /> NOTE! Parade Qf Homtr events rtqulrt separate permi pprovut by Police Department cend <br /> Clty Cou►tcil 60 days Arior to th� tvent. Non-p�rmitted evsnts will n�t be allowed. <br /> S <br />