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`- CiTY OF ORONO � 6124730510 09/24/96 14:00 � :02/03 N0:522 <br /> Toca1 Fee: $ I ��'' } � Date R�ceived: <br /> Entered By: Permit�1: �';�"% i� <br /> �� <br /> ;, <br /> CITY OF ORUNO - BUILDING PERMIT APPLICATION <br /> AI} ir�formadon must be submitted in futl before plan review will be started. <br /> . (please print all informat�on) <br /> TH� APPLICANT I5: (circle one) O'GI�NER O ONTRACT�R <br /> JOB SITE ADDRESS: Iv�� ��- �'���- �ve- . �vavt a ZIP: S��o� .8., <br /> � N�ME OF OWNER: �,b ��c�u�z:_ PIiONE: (home) �'$/-�3�6� <br /> � , (work) S� <br /> MAILING ADDRESS: Cl�(�(o ���4`�da.A-✓� cITY: �^o�o zTP:�3�a <br /> CONTRACT4R: � e�s�►-, P�ONE: 5�--�{���7. <br /> CONTACT PERSON: � � �,�� MOBILE/PAGER: �S'f-a�sy <br /> � 11+IAY�.ING ADDRESS:3sa-7�"��- �� CITY: � ZIP:,,,�3� <br /> �fiAT� LICENSE: � �4��0 <br /> . A�tCHITF.CT/ENGINEER: PHONE: <br /> MA�I.ING ADDRFSS: �CITY: ZIP: ---- <br /> NAME: REGISTRATION# <br /> TYPT OF WORK: New Addition Accessory Sttucttue <br /> Move Remodel/Alteratian Land Alteration <br /> PROPOSED WORK(eleserrbe in detai�: �i��o��-�%M � ��G �� <br /> �w��4n� �,�,c ' ���� �� - - <br /> STORIES: SQ.FE�T OF EACH FLOOIi: <br /> NU. OF BEDROQMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excludfng lan�: $ ,�, OGY�. `�� <br /> I hareby apply for a building pennit and I acknowledge that the inforntation above is complete and <br /> accurate; that the work will be in conformance with the ordinances and �odes of the City and with <br /> . � the State Building Code; that I understand 's is not a permit and work is not ta start without a <br /> permit; and that the work will be ac r c w�th the approved plan. <br /> APPLYCANT'S SIGNATURE: �� DAT'E: � �7 �7� <br /> ND?'E! Parade of H�es eve requfre sepamte permit approval by Pol�ce Departnient Qnd <br /> GSily Cor�ncl180 days prior to the event. Nort permitted eveRts will not be allowed. <br /> Received Time Sep. 24. 1 :42PM Print Time Sep, 24. 1 ;43PM <br />