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CITY OF ORONO � 6124730510 03/30/99 16:06 � :06/07 N0:326 <br /> .. � // <br /> TotAl Fee: $�l/ � Date R�ceivcd: <br /> Ent�red By: ,�^,� • Permit#: 'i���" <br /> � <br /> CYTY 4F ORONO - BUILDIiVG PERMIT APPLICATION <br /> Alllnformation must be subm�tted in full before plan review will be started. <br /> (please print a11�nformation) <br /> -..�.�...��.....�__«-s-_'.�___-_'_�..__^.____________�^�..�'��..�'��,�.."���__-«�_�'-_"-__�_ __�__...�--'-'----_-"_^^_T _�..'� . <br /> THE �APPLICANT IS: (circle orce) 4'WNER ORC�ONTRACT� <br /> JOH S�TE ADDItE55: ���U `��1��/ �/i,%' Z�P: �5 3�-I <br /> NAME UF OVIVNER: C i���/I �C o � � PHONE: (hame)��%�� 'S�7/- 7�l�S <br /> //� (work)^ .S p m�; <br /> MAIt,ING ADDRESS: � L�'��� ��E-���/v�`" CITY:�XCc/S io 4 ZYP: S Sv33 <br /> CONTRACTOR; �/ ,� o.t>� T r (�/21 S 33-ZUD�o <br /> d C. !k'�� io�v ��.PHONF.: <br /> CO�]T.ACT PERS4N: i`z ,�U z MQBILE/PAGER: <br /> MA�LING ADDRESS:! � � ,��z<1s d� C.ITY: ,��,Q�S..�1�%/� ZIP: v5 3� <br /> STAT� Y�ICENSE: #�_2�/�0� // SU�T�iis <br /> ARCHt'I'ECT/£NGINEER: /� /`� P�IONE: <br /> MAILING AI)DRESS. CTTY: ZXP: <br /> 111A11�:,,^ __�__� .REGI�TRATYUN�t _ <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Aiteration � Land Alteration <br /> PROPOSEIS WORK(descrrbe in�tetai�:�j�/Y10�,� ;� �LT,�`�C�- ��Ua/� � <br /> STdRI�5: � � SQ. FEET OF EAC�I FLOOR: � <br /> NO. OF AEDItU011�S: GARAGE STALLS: ATT, DET. <br /> a� <br /> E5TYMATFD CONSTRUCTION VALUATION(excluding land): $_ �(�4 �,�D <br /> I hereby.apply for a building pe�n�it and 1 acknowledge that the inform�tion atx�ve is coniplete and <br /> accurate; that the wor�t will be in conformance with the ardinances and c�des �f the City and with <br /> the Scacc Buil.ding �dde; that I understand this is nat a permit and work is not to start w�thaut a <br /> permit; and that the work will be in accord�nce with the approved plan. <br /> � � � �-� � ? �j <br /> APPLICANT'S SIGNATURE� � '� DA'I'E: :�� <br /> , _ ( <br /> NUTE! Pp;��p�;,��� events require separate permft approvaC by Police l)eparhnent and <br /> City Counc�l b0 days prtor to the event. Non permftted �vents w�ll not be allowed. <br /> , 5 <br />