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` �tTY OF ORONO � 6124730510 09/24/96 14:00 � :02/03 N0:522 <br /> . � / <br /> Taral Fee: S ��ot� Date Received: <br /> Entered Hy: Permit�+: f/ �g (� <br /> r <br /> EITY OF O1�T0 - BUILDING PERMIT APPLICATION , <br /> ,.. ... =J -� , . <br /> AU lnformatlon must be aubm{tted in full before plan review will be starte�,; r �„- �,:�;,�� <br /> � �, (p�lease pri,u all�r�'ormation) <br /> � _�----------=------------__...�__......_._.�.__..---.......��....�._. _...--------------------_____ <br /> THE KPPL�ICANT IS: (circle one) 0'�iVNER OR G�CT <br /> JQB SITE ADDRESS: ��a5�° zar: ,�331 °. <br /> �, N:4ME OF OWNER: �/1� C[�P���J p PHOI�TE: (home) 7 • <br /> (wark) ��� 'N��s� <br /> 14IA�II.ING ADDRESS: (�a C1TY:.�1.�Lr2 ZTP:�3 a L <br /> . . . . , <br /> COri1TRACT4R: P�#ONE: .�a-�l']'7"�. <br /> . CONTACT PERSO :�f MOBILE/PAGER: �5�-1—a$� �C� �S� <br /> ' ' MAIi.iNG ADDRESS: �,`� 3_ (��x ."� � CTTY: Z�:�►�r�a <br /> ��AT'� LiCENSE: �+ aoo�(o c�3a <br /> . A�tCI�YITECT/ENGIIYEER: � PHONE: <br /> MAII.ING ADDRESS: Ci1'Y: ZIP: <br /> NAME: REGISTRATIUN� <br /> TYPT OF WORK: New Add"uion � Accessory Structure <br /> Move Remodel/Alteratian Land Alteration <br /> PR�POSED��VORK(describe in d�tai�: r _ <br /> ' .- , <br /> , <br /> STORIES: SQ.FEET OF EACH F'LOO�: <br /> 1�T0. OF BED�OOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATYON(excluding lan�: $ I I, QOn•� <br /> I hdreby apgly for a building permit and I acknowledge that the information above is c.ompiete and <br /> accurate; that the work will be in conforman�ce with the ordinances and �odes of the City a�d with <br /> . ' the State Building Cade; thac I uaderstand this ia not a permit and work is not to start without a <br /> permit; a�ci that the worlc will be acc e wlth the approvod plan. <br /> APPIICANT'S SIGNATURE: DAT�: _ / ��/• � <br /> 1WOTE! P � nf��s eve raq�C aeparate pe opprnval by Pol�ce Departiaent mtd <br /> Cif[y Coweell 60 daya prtor to the everit. Nort pernt�tted eve�rts w�ll►tot be ollowed. <br /> Received Time Sep, 24. 1 :42PM Print Time Sep, 24. 1 ;43PM <br />