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�ay-19-2�03 05:19pm From—CITY OF ORONO +gE�22494616 T-486 P.002/003 F-943 <br /> Total Fee: $ �t,�i �x• L�-% Date Received: � <br /> E�tered By: S�}�t, ,,. .... Perina�t#: C �`/�. <br /> ,� C�TX t)F ORONO • BU]Y.DING P�ERIVIIT Ai'PLICATION <br /> l�,,� <br /> �� `�', � All inforu�ation must be submitted in £ull before plan revi�ew wiil be started. <br /> J <br /> F���\t� �� _�-�__rr ` (please print all inform.ation) <br /> m...._�__...�_^_�__�_T______ --------�----��---=- __--_ <br /> THE AP�I,ICAN�' IS: (circle one) OWN'ER Q i�ONTRAC_�T�'--��------ <br /> .ras sr� annx�ss: . I G�� �vX Sfi-�� t- zr�: �'3� � <br /> NAME OF O'VV'NE:R: � ��Le C.c�S�w��r. _ PFlQ1VE: �om�� 4s2- a yy-�Z,Z� <br /> (work) <br /> MAlI,INGADDRESS: ��v�S -I oX Si'�'ee� CP1CY• C�ro o zIP• S.r39/ <br /> GONTRACTOR: �� '�. �� �� � �PT341�TE: 76 3-.S�S--sL/�3 <br /> CONTACT PERSQN: r W usc MOBII�E/FAG�E�t: ���- a�o-�0�9 <br /> MAIY.YNG,A�ADRESS: G��L H� �, � s- CrI'X: � � �2N V4 IIa�_z�': s'�'t�Z 2 <br /> STATE LIC�I�SE: # <br /> A1tCHITEC�'/�lYGINEE�2: PHQNE: � <br /> MAILIN�ADD�SS:— -- , ._ - CP�'X: ZYP: <br /> NAME:� �tE(YTS'T'YtATION#� � <br /> T'YPE OF WORK: New Addition Accessory Structare � <br /> Move Remoc3e1/Alteration L�nd Alteration <br /> �oFas��wa���aes�rib�:n�►���: Ac✓���v�fti-s � Q� �, <br /> STORIES: SQ.FEET OF EACH FLQQ:R: <br /> NO. OF BEDROUMS: GARAGE STAI.,LS: ATT. DET. <br /> ES�IMA►TED CONST�2YJCTION VA,LUATTON (exclud'uig land): $ /S�• �' <br /> �, <br /> I hereby apply fqr a buildir�g permit and I aClrn4wledge that the informarion above is complete and <br /> accurate; that the wq�k will be in conformance with the ord'u�aqces and codes of the City and with <br /> the State Building Cc>de; that T understand rhis is not a per��,it and work is not to start without a <br /> permit; ar�d that the work will b� in accprdance with the approved plan. <br /> APPLICANT'S SIC:NATUIt�: . � riAT,�: .�/�. o� <br /> NaTE! P�rq�Q �'l9'omes events require separate permit approval by Poiice Aepamnent and <br /> Ci.ty Counci160 dayr prror to the event. Non perrrtrtted events wil'1 nat be allowed. <br />