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CITY OF ORONO � 6122494616 OS/13/99 14:55 � :09/10 N0:307 <br /> , � <br /> Total Fee: $ .�d� �' � Da�Received:,� .� -�`�-`1 I <br /> Entered By: �'t� „_, Permit#: ,(*��� <br />. -L� <br /> CITY OF ORONO - BUII.DING PERNII'r AYPLICATION <br /> Alt information must be submitted in full b�fore plan review will be started. <br /> (please print alI informarion) <br /> ---------------------------- <br /> THE AFPLICANT IS: (circle one) OWNE OR CONTR.A.CTOR <br /> �os srrE �,nnx�ss: a1�97- �S��'3 kr��y gv,e�+rv�' z�: S's 3 3 r — <br /> �-xcc�s� o <br /> ���c.��r c oYr MoM�owMt�?S �,2 /-/i O <br /> NAME OF UWNER: �}-s s a c � +4 i�a nr PHONE: (home)��7' � <br /> (work) �s'a��( <br /> MAIIrIl�'GADDRESS: ��q7 lCL'�.y /�v�-N�L CITY: .EXcr;L.Sio�_ZDP: S"s� 3 3 / <br /> CONTRACTOR: �����. <br /> COI�t'TACT PERS4N: 1�10�ILE/PAG�R: -- <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: �f <br /> ARCHITECTIENGLVEER: PHO?�1E: <br /> MAII.ING ADDRESS: C�� ZIP:,_ ----- <br /> N�ME: RE�ISTRATION� <br /> 'I'YPE OF WORK: New Addition Accessory St�ucture ?C <br /> Move Remodel/Alteration Land Alte:ation <br /> PROFt}SED WORK(describe in aetain: <br /> �U��3 5+�.hSDNA't- •�O�+►v f' tJ�t t� D f�C'.�,'�. <br /> STORIES: ________ SQ.FEET OF EACH FLOOR: <br /> NO. 4F BEDROO:�IS: �____ GARAGE STALLS: ATT. DE'f. <br /> ESTIlVIA►TED CONSTRUCTION VALUATION {excluc�ng land): $ <br /> I hereby apply for a building perniit and I acknowiedge that the information above is cornplete and <br /> accurdte; ttiat the work will be in conform�nce with the ordinances and codes of the City and with <br /> the�tate Building �Qde; that I undcrstand this is not a permit and work is nat ta start wichout a <br /> germit; �nd that the work will be in accordance with the approved plan. <br /> �./<C��,�r Ct7vC !`�r7Ea c%ZQ I A3SOC .. <br /> APPLiCANT'S SIGNATURE: /,I' .����� i1 DATE: ,��z�'/ /�9 <br /> ��L <br /> NOTE! Parade o�'�mes events require separate pe�pproval by Police Department and <br /> Ci'ty Cauncil 60 days prior to the evsnt. Non permitted events wiil not be atlowed. <br /> 5 <br />