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Au�-23-2001 08:23am From-CITY OF ORONO +9522494616 T-685 P.002/003 F-617 <br /> � �� �� <br /> Tqtal Fee: $ f g �' 6� Date Receirred; �a- U <br /> � j Entered By: �'?/Z r- Permit#: o�O �"- Dd/��j <br /> T <br /> �CITX O�' ORONO - BTJIIIDT.�TG PERMIT APPLICATION <br /> . A11 information must be submitted in full before plan reYiew will be started. <br /> (please print r�ll i�{forniation) . <br /> TITE APPI,YCANr IS: (circle one) OWNER 0 CONTR.ACTO <br /> JOB SITE AriDRFSS: �.��J ��U�'e, R-IG�e �C ZiP: FJS��(. <br /> N�OF O'GS'NER: �av i d J�I,M,(��S61/L PHOI�: (home�-4'!(-'7a7a... <br /> (work) <br /> 1�IAILri�iG ADDY2ESS:<<�' La�2-4�e� �{d �"CITY• ZYP:��� <br /> CONi'RACTOR: �l •�'Cf�'EExS �'.FHONE:Q`'�2�Ztfl-�fC�1�t <br /> C4NTACT PERSON: ` c�, t c e 1V10BILE/PAG�ER: <br /> 1��Y N G A DnRFSS• R 1 o 0 J'u d� � -�I�CITY:�"�1sVc (I.e ZiP:����1 <br /> STATE LICENSE: � � (��3 . <br /> ARCHI'Y'ECT/'F.NGJ�NEE�t: PHONE: <br /> iVIAILING►ADDRESS: CITY: 2II': <br /> N�: �GISTR,A,TYON# � <br /> TY�'E OF WORI�: N'ew Addition Accessory Stiuc�ure <br /> Move RemodeUAlceration Land Alteration <br /> PR4pOSED WORK(describe in detain:�G� �k- Y��� <br /> STOItIES: SQ.FEET OF E;ACH FLOOlt: <br /> NO. OF BEDROOMS: CARAGE STALLS: ATT. DET. <br /> EST�MA1"'ED CONSTRUCT14N'VALUAT[ON(excluding lancn: $ �_ ,�_� __ <br /> I hereby apply for a building permit and I acknawledge that the information above is complete and <br /> accurate; that the work will be in confonnan,ce with the ardinances aad codes of the City aad with <br /> the State Building Code; that I understand thi� is not a permit and work is not to start without a <br /> permit; and that the work will be in accordancz with the approved plan. <br /> , r- � DATE: �c�r�� ��� <br /> APPLYCA,N'�' S SIG►NATURE: �1G��� <br /> � <br /> NOTE! Parade of A2n�es events require separate permit approval by Police Departrnent and <br /> � City Council 60 days prior to the event. No,r permitted events will not be allowed. <br />