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. CITY OF ORONO � 6124730510 09/24/96 14:00 � :02/03 N0:522 <br /> To� Fee: $ Date Received: - - � ` <br /> Entered Hy: + � _ __ Permit�i: �;��, � <br /> CITY OF ORONO - BUILDINC PERMIT APPLICAI'ION <br /> Al� in�ormadon must be subm{tted in full before plan review will be started. <br /> � � (please print al! informar�on) <br /> ' �rw.�..��.������..���_�._r_��..�����.�...�..�...�....�.�^�����..��.�������..��� ��.�����.^��� ��_�_^__^��_____..__..__.__� <br /> THE APPLICANT I5: (circle one) OVVNER R ONTRACTOR <br /> JO$ SITE ADDRESS: �3'7,S Lo�q�-e w C'�rGI� ZIP: S S3s,� „� <br /> �. NAME OF OWNER: �C�dT s f c--/-�e�-- PHONE: (home) <br /> . (work) <br /> MAILIl�iGADDRESS: a3�s �bnyvr�� C;r���. CITY: Lo,�, c�,r�� ZTP: Ss�sy <br /> . —.�. <br /> . , <br /> CONTRACT4R: e n e�r�-1 � �r�e�-s�.�, PY�ONE: �f,3 0-7a.s�' <br /> CONTACTPERSON: ,����e Co��d�s 1VIO�II.E/PAGER: <br /> . MAIi.ING ADDRESS: ��oc� �K er�-/e CTTY: l�lh,-�, 8�.-�<<.e ZIP: Ss��b <br /> ��AT� LICENSE: �l �o o �ta�3 v <br /> . ARCHITECT/ENGINEER: �/�" PHONE: <br /> M�ILING ADDRFSS: CITY: ZIP: <br /> NAME: REGISTRATIUN# <br /> TYP'� OF WORK: New Addition Accessory Scructure <br /> Move Remodel/Alteratian �--- Land Alteration <br /> PROPOSED�WORK(describe in detai�: �.e��u�e. l �a-� c!o��- <br /> � <br /> STORIES: SQ.FECT UF EACH FLOOIt: <br /> NU. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUAI'YON (excluding lan�: $ �,R �� o J <br /> r hareby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conforniance with the ordinances and �odes of the City and with <br /> . ' the State Building Code; that I understand this is not a permit and work is not ta start without a <br /> permit; aad that the work will be in acc ee �th the approved plan. <br /> APPLICANT'S SIGNATURE: DA1"E: � �Y 9- <br /> NOTE! P e nf Ho�es, eve requfre separate permit approval by Pol�ce Department and <br /> G�ty Councll 80 days pr�tor to the event. Non pen►i�tted events wiU not be allowed. <br /> Received Time Sep, 24. 1 :42PM Print Time Sep, 24. 1 :43PM <br />