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� � � `' : ' �-���`�"`. <br /> �, ,r <br /> �� Total Fee: $ / 3 � = �' Date Received: � - (v- c'/ <br /> �ntered By: ;'�-` Permit#: � � �' �3�/�/ <br /> �\, ; �' � . i � <br /> CTTY OF ORONO - BL7LDING PERMiT A.PPLICATION � �' '`�" ` ' � <br /> , . S> >�<<° <br /> A.t2 infornrn�on mustbe;submitted in full before plan review will be started. ,- ;;li;y��i <br /> `�(please prini all informaiion) . =�; <br /> THE APPI�ICANT IS: (circle one) OWNFIZ OR ONTRACT � <br /> J�B SITE ADHRFSS: ��02� �v,k ,,��ra�� ZIP: <br /> NAME OF OWNER: (� • / �HONE: (home) 6Z- 73 - 3�d <br /> (work) /2- �. - p <br /> MAII,�G ADDRESS: Gl�� z f��.. CTTY: o ZTP:���'� <br /> . <br /> COI�I'RACTOR: I'HONE: � � /- / D0 <br /> CONTACT PE�250N: ' � ' .�' ��f BILE/PAGER: / <br /> 1�YA.II.ING ADDRESS: . _ O/(�lJ �a. .CITX: ��T , ' ZIP:''� <br /> STATE T..ICEl�ISE: #_oaaa,�s <br /> ARCH1fiECT/ENGNI EER: PHONE: ' � -- ,�o,p r <br /> 1�A�LING ADDRESS: o! a � : sT.�o�; ZIP:�r��6 <br /> NAI�LE: UJa�Ke T. �.�r� REGISTRATION# 2 3 S�!,o � ` <br /> ;-'�4 � `' <br /> , � ti. <br /> TYPE OF WORS: New Addition Accessory Stzucture �� v��� <br /> \\ �Y <br /> Move Remodel/Alteration� Land Alteration'� � `� <br /> �. <br /> PROPOSED WORK-(describ�in detain: � � ,U . \ �� <br /> __ , �; <br /> STQRIES: I SQ.FEET OF EAC�i FI.00R:,_„_„Zv�GI . ` � ,� <br /> NO. OF BE ROOMS: � G.�iRAGE STALLS: ATT. �� �,� ,� ,� <br /> � � ��� <br /> ESTIv1ATED CONST'RUCTION VALUATION (excluding lanc�: $, 4� � <br /> , <br /> . �. <br /> I hereby apply for a building permit and I��cknowledge that the information above is complete and <br /> accurate; that [he work will be in conformance with the ordinances and codes of the City and with <br /> the State Bui3ding Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in a or c with the approved plan. <br /> APPLICANT'S SIGNATLTRE DA'T�: �-- �� <br /> NOTE! �'arade of Aomer events requir separate permit approval by Police Department and <br /> City Council 60 days prior to the everrt. Norc perntztted events will not be allowed. <br /> 9 <br /> ��_ . . , <br />