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JUL-28-2004 20�36 JUSTUS LUMBER 9529389441 P.01i02 <br /> ; ; • <br /> •�J �1; ' ' . <br /> ' . . ..� . •r � ,� ' . . <br />� .. . ' ' � ' • <br /> . I. . . <br /> � �I• � . L t . . . ',� _��� � <br /> � To#al Fex: � �.. �: . . �,-� g�:. <br /> .� ��{ '���'� � <br /> , Eatered HJ': � � !;. .. .� . ��'�•P�it�:� �� <br /> . : .. <br /> . ;. ; . . . . <br /> CITY OF ORONO�r$UILDIATG P�R�vIIT APgLI� TION <br /> , . . .� ; � . � <br /> All info ation muat be sulbmitted ia#fup'before plan revie�v will e started. <br /> (pleast priret aA i�'orma�'on) . <br /> THE APPLICA�N � IS: , (cir�le;;one) OWNER O�t,� ONTRACTO <br /> JOB SlTE ADD 3: �� �L.l�I�C.E C.1� R���6� . � ,j$�35� <br /> ' ; . <br /> : <br /> Will thie be a ar e of Homea,Remodelera Showcaie�iome o�otl�er�Dis lay Home? <br /> ❑Yes �NO !f yss,a specia/avenf pprmtl is rsqulred wt�/�Palice Deparphrent an City Gouncil appreval <br /> 60 days prio►'�o the avenf, Shunle bus aervice�+ull be t'equir�sd unlert pplicant demonslrntas <br /> su,,�'icieRt on-stle Ra►king is available. Nor�-per•mitred events wi�`no h�allowed. <br /> NAMEOFO : Sa�NE� N6ea� ,_, P�ONEt e) �• 7�'3�71 <br /> MA1LtNG ADD SS: ��L- LI� ��pb� C�TX: 0�-NI.D � z p; s��3 <br /> � <br /> � CON7'KACTOR: 5��6�6�C, l�5 CLLW�'Zt/l PHONE: �• 8�Z��I <br /> CONTAC'1'PERS N: S r6t�S �S��C MOBILE/PAGER: •Z`17� (o <br /> MAILING ADD SS: �.I►�u �I Avb . ' CITY: I ZIP: � 13 <br /> STA�'E LICEN3E # R� �Z•3 3 69 CXpIRATION DATE: <br /> i <br /> ARCHl'fEC�rI�N iN�ER: pHpNE; I <br /> MAiLING ADD SS: CITY: Z��: <br /> N��� R�GISTRATION: f <br /> TYPE OF WORK New Addition � Accesso Structure <br /> _..... <br /> . . . �. .1V�ove Home'''�' `' �odeVAlteration . . <br /> PROPOSED WO (de�cribein detai�: C�PL'1►C6� iS7"1N.� T ,� <br /> -� S <br /> STORIES: SQ.FEET OF EACH FLOOR <br /> NO.Ol+Y SEDROO S: GARAGE STALL3: ATTACHED DETACHED <br /> � <br /> ESTIMATED CO STRUCTIOI�t VALUAT�ON(eaclnd�ng I�nd): $ 6 s <br /> I hereby apply for a ilding permit aad I eclmowledge that t6e iaformation above ia co plete and accurate; <br /> that the w�rk will be oonfoimaace wit�t the ordinaacoe and codes of t�he Ci�ly and ari the State Building <br /> Code;t6at I uaderatan ehis is aat a permit and work is ttot W�tart without a pecmit;and hat the work will be <br /> in accorc�ance wit6� approved plaa. <br /> APPLICANT'3 SI N�TURE: DATE: Z� �I <br /> c�x � �s�.� � 8- R��! <br /> �� 3l . <br /> .i'y � � • � • � , <br />