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Octd17-2003 08:44am From—CITY OF ORONO +Q522494616 T-303 P.001/002 F-520 <br /> w �'� , Da[e Received: <br /> Total Fee: <br /> ` Lntered By: Perm.it#: <br /> CIT'Y OF ORONO - B'[TILDING PERMI��' A�'PT�ICATION <br /> All infarmation must be submitted in full before plan review will be started. <br /> ' (please print all inforntatian) <br /> _______�.__.._________..___�___- <br /> -----------------__--�----�-___--_--_ <br /> ____�.._�_..� . <br /> TPlE ApPLYCA.N''r IS: (circle one} OWNER OR O�ITRA�`�� <br /> � :-- <br /> J'OB SITE ADnRESS: ^ �� �X c�� ' C��x t,l...- ZIP: ��_`>��..� <br /> , <br /> N� �� �`��: �� ��, �1�'y� ct � P�Q�'. �101Xl,e�r:���"��(F���-ly�i <br /> (work) <br /> �LAI��NG ADDI2ESS: �`�l;i F(;� �.i�" �.4�- _G`IT`Y: j��t;r-�> _�P: F�5_'>S�, <br /> CONTRA.CTOR: �-li(' , � �vMh`-�. �� � 1'HONE: ID -M.P L'i 3 ZL <br /> CONT.ACT PERSON:_j'd� U,�C�t�C- MQBII`�����R' <br /> � �� ��� L �G� 7iIP' `� �'; <br /> �,�NG ApD�2ESS: l L t`t� � �c;:�t�[ t ;n� _CTT"Y: - <br /> STATE L�C�NSE: #��,1,�(� �� <br /> ARC�ITECTl�NGTNEER: PHONE: <br /> MAILING AUDRESS: CITY: Z�� <br /> NAME: REGLST'R.ATION#1 . <br /> � <br /> Z.YpE Q��pg�; ���, Add'ztian Accessory Siructure <br /> Move Remodel/Alteration��-"� Land Alteration <br /> P124POSEn WQ�(describe in derai�: (�����(�i�,ll��'--- ��: U)'u'1i,�i��, r�Lt���' ��fi <br /> STORrES: SQ. F�ET OF�AC�T.FLQOR: <br /> NO. OF BED�200MS: GARAGE STALY.S: ATT.• DET• <br /> �'�� �� <br /> ESTIMATED CONSTRUCTION VALUATI4N (excluding la.nd): $. (5� 1' � �C <br /> Y hereby apply for a buia.ding permit and I acknowledge that the iz�formation above is complete and <br /> accura[e; thaC the work will be i.n conformance with the ordinances and cades of the City and witt� <br /> rhe State Building Code; that I understand this is not a germ.it and worlc is not to s�art �vithout a <br /> permit; and thaC the work will be in accordance with the approved plan. : <br /> a <br /> APpLICANT'S SYGNATLTRE: ���Ik.�-�.� �`� �,� DA'Y'E: -...�U^� <br /> NOT'Er p�Qf Horr� events require separate permit approval by police llepartment and <br /> Cily Council 60 days prior to the event. Non permitted events will not be allowed. <br />