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CI.TY OF ORONO � 6122494616 06/14/00 09:16 � :01/02 N0:371 <br /> r <br />� Tot�l Fee: $ Datc Rcccivcd: ;v f .��lG � <br /> Entered By: Permit#: <br /> CITY O� ORONO - BUILD�IC� PERNIIT AP]?Y..ICA'TION <br /> All finformatfon must b� submitted fn full bet'ore plan revie�cv will be started. <br /> (plrase print atl inJormatfon) <br /> __._ - � ----------- <br /> THE APPLICANT IS: (circle one) OWNER R CONTR.ACTOR <br /> �oB srr� annx�ss: ��.S kr 1�,� �f�- ��: s�S_3�% <br /> x� oF owiv�R: ��-�,e t� �����1�� -- P�o�: cno�) �7�1—����� <br /> :�SGS (work) .� ' --�, �t� <br /> NIATLING ADDRESS: /�,�1��,�L. CITY: � :� ,�zl✓ ZIP: .S".53� . <br /> , „� pHONE: �-�C�c) <br /> COVTRACTOR: �r�. �,�. k'c ���-- s —�Z <br /> CONTACTPERSON: �� MOBILE/PAGER: . <br /> MAII.ING ADDRESS:S� G��:�/��� �- crrY: ��� ,� zte: .�J,�� . <br /> STA'I'E x.�CENSE: � iS(!� <br /> AFC��CT/�NG�IEER: pA��� <br /> I�L iII.,ING ADDRESS: CITY: ZIP: <br /> N��: �EGISTR.ATIOh'# <br /> TYPE OF '�VORK: New Addition Accessory Strueture <br /> Move 12cmodel/Alteration � Land Alteration <br /> PROPOSED'k'VO�tK (describe in deta�: ��c v�' r���� �� `� ��'�14i� <br /> STORYES: � SQ.FEET OF E�CS FLOOR: ��(� i� <br /> N4. OF BEDROONIS: 3 GAR�►GE STALLS: ATT. _� DET. <br /> ESTItii IATED CONSTRUCTION VALUATTON (excluding lancn: $�-�O � _ <br /> I h�reby apply for a buildis�g perm.it and I acknowled�e that the information above is complete and <br /> accurate; �.hat the work will be in conformance wich the ordinances and codes of che Ciry and wich <br /> � the State Building Code; chat I understand this i� aot a perm.it and work is not to start without a <br /> perznit; and that the work will be in accordance w�ch thc approved plan. <br /> / /� <br /> A�'PLICA.NT'S SIGNAT'URE: `� / .` �� DATE: �c%�.�/''� ��-� <br /> / <br /> 1YOTE! Pur�de_�f Homes events require separctte perm�t approval by Pol�ct Department and <br /> � City Council GO days pr�or to the �vent. Non perm�tted events w�ll not be allowed. <br />