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Fab-OT-2��1 �2:41pm From-CITY OF ORONO +8522484616 T-490 P.006/008 F-58B <br /> Total Fee: $ � `'--G"�'� L' ��y' � 3�' Date�eceived: >s - �'�- �' 1 <br /> ��.t"� ✓,� Entcred By: _ ,v��� Pemur i�: ;t D 3�`/.5� <br /> ��ti� <br /> � � `" CITY OF ORONO - BUILDING PERMIT ��PPLICATION <br /> , <br /> " Alt information must be submitted in full before plan review will be started. <br /> (please print all information) • <br /> ------------------------------------------------------------------------ --------------------------- <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTO <br /> ,--- Q <br /> JOB SITE ADDRESS: Cp�:� ��NC� � ZIP: �`��"� <br /> ..� s�` ?3 - �'`] <br /> NA1vIE OF OWNETt: ���, � d� P��OIVE: (home) 4 <br /> ,^ {�-ork) (ol Z 33$—`�i`t7 <br /> MAILING ADDY2ESS:(�Z1 t�aexv-1���,°�'v:1� _ z�:�� <br /> c � ` , r <br /> CON'TRACTOY2: r � ,P�[ONE: �2., `t'�'��(� <br /> CONTACT PERSON: � MO�lPAGER:(�Z �Z-��'�(� <br /> MAILYNCr ADDRESS: .CITY:E��t c;oQ �YP: SS33 � <br /> STATE LICENSE: � IE7�`� <br /> ARCHITECT/�NGINEER: P];pl�'E; <br /> MAIT.YNG ADDRESS: CI1'Y: — ZIP: -- <br /> NAME: �tEGIST]tATION 11 --� <br /> T'YPE OF WORK: New Addition �1 Accessory Structure <br /> Move Remodel/Alteration V Land Alteration <br /> PROPOSED WORK(describe in detain: ��-t � �p,ti.� p� <br /> . `�i ` �.� <br /> �S-�,�.� � <br /> STORIES: � SQ.FEET OF EACH�'T.,OOR: IS� '� 'i��• <br /> NO. OF BEDROOMS: O GARAGE STALLS: ATT'�. — DET----� <br /> ESTIMATED CONSTRUCTIDN VALUATION(excluding la�id): $ o�`�,�• "� <br /> I hereby apply for a building permic and T acknowledge that the in,formation above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the Cicy and wi[h <br /> the Stace Building Code; that I understand chis is not a permit at�d work is not to start without a <br /> permit; and that the work will be in accordance with ihe approved plan. <br /> APPLICANT'S SIGNATCJRE: llA'rE: a � 1 <br /> NOTE! Par�de o,�Homes events require separate permit app�oval by Police Depardnent and <br /> City Couneil 60 days prior to the event. Non permitted events will not 6e allowed. <br /> 5 <br />