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_ -� CITY OF ORONO � 6122494616 01/25/00 15:52 � :02/03 N0:905 <br /> . <br /> � <br /> Total Fee: $ / �.,p T Date Rec�ived: � <br /> Entered By: � Permit p: �oao i 9 <br /> CIT`Y O�' ORONO - BUII,DING PERMIT APPLICATION <br /> All tnFormetton must be submltted in full be[ore plan review will be started. <br /> (p�ease prfnt all i�formadon) <br /> ------�---.--__________________________----------- --- ;��_�--' -�_��_�.,___.__ <br /> THE APPLICANT IS: (ci�cle one) OWNER O CONTRAC R <br /> JOH SITE ADDRES�: a�.P� fi `:� ��Y�.�-�- ZII': .�i�J�'1 � <br /> NAME OF OWNER:���� �1�1 PHONE: (homc _ � <br /> )_�-l'1?� d�� � <br /> MAII.ING ADDRTSS:� � . (work) <br /> �D� `�;�X �V �� CI1'Y. ( � ZIP• r��l <br /> CONTRACTOR��I,II.�,' ��F�.� �� e�uS�,c 1PHOlVE: ��.�— S�{-$� <br /> CQNTACT PERSON: MOBII.E/PAGER: <br /> M�ILING AADRESS:�l'1 n� , �,D, CTfY:�t� ZIP: S <br /> STATE I.IC�NSE: � O��j �� <br /> ARCHI'T�CT/ENGINEER: PHONE: <br /> 1�ZAYLINC ADDRESS: CITY: ZIP: <br /> N��� REGISTRATION� <br /> „ <br /> TYPE O�+' WURK: Now Addi�ion Accessory Structure <br /> Move Remndel/Alteracion I/ Land Alteratio� <br /> _______.� <br /> PROPOSED WpRK (describe in detail�: � � <br /> �_ <br /> ST�RI�S: 3Q. FEET QF EACH FLOOR: <br /> N0, OF B .F.DROOMS: GARAGE 3TALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excfuding land): S �'�Qr , (� <br /> I hereby apply for a building pecinit and I acknowledge that the information a6ove is complete and <br /> accurate; cliat the work will be in confurmance wlch che ordinances and codes of the City and aith <br /> tho Stxtt 8uilding Code; that I underscand this is not a permit �rid work �s not co start without a <br /> permit; and that tha work will be in aceordance wi approved plan. <br /> .- � - <br /> APPLICANT'S SIGNATURE: � ` - � �DATE: O � <br /> NOTE! Para�je nf,H'omes tvents require sepdratt permlt approval by Poltce Department and <br /> C�ty Go�cnc�t 60 days prior to the e�►ent. Non permitted events w�ll not be allvwed. <br /> _� <br />