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' � Au�-2�2001 08:23am From-CITY OF ORONO +9522494616 T-685 P 002/003 F-617 <br /> � Total Fee: $ ' � 17ate Recei'ved: <br /> �� Entered By: � Permit#: <br /> �� <br /> CITX OF ORONO - BUII.,DING PE�tMIT APPLICATION <br /> ��f�L Z`f �� -� �,. .,i, �S�Z � y �-���/(. <br /> A11 information must be submi.tted in full before plan review wilI be started:�`'�X <br /> (please print all ir{forniation) <br /> -�--------�--------------_--________� �.� �..Y_ � --=_=�,;---_--____.^�--- <br /> TI� APPLYCANi' IS: (circle one) O�VNE�t 0 C4NTRACTOR <br /> JOB SITE ADDRESS: ���-� Z--II�r► L '-u� ZiP: �J�3 <br /> NA1V� OF O'VS'NER: ' �►�` ' , � P�iONE: (Yiome)CQ�Z� �{?I-1���� <br /> (work)r6(Z ��� S��C� <br /> I�LA�I.,1NG ADbYtESS: ���I CITY• ZTp: <br /> m <br /> ;..^�� <br /> CON'i'R.ACTOR: ��r-,� � n � ; '� ,��►-{c';a� PHON�: "Z C�`�- S� <br /> CONTACTPERSON: , �.- lYtOBiLE/PAG�ER:1��12� 3_Z �� `� !C% <br /> :1�iA.IL�TG ADDRESS• (22�4.` IU>'v�t�z��._CIT'Y: s 11; d� ZiF: q�,`5�� <br /> STATE LXCENSE: �{.2«l�� ��5� <br /> AR.CT�C7`ECT/�NGIl\'EE�t: PHOI�'E: <br /> �IA,II,,Il�,rG�ADDRESS: CITY: z�: <br /> NAME: ItEGLSTRATYQN# � <br /> TYP� OF WORI�: New Addition Accessory Structure <br /> Move Remodel/Al[eration�_ Land Aiteration <br /> PR4pOSED VUORK(describe in detai�: �P ..�.-,�� Sln+'�l e� �t�m�- �� <br /> STOI2IES: �_ SQ.FEET OF�;ACH FI.�0022: <br /> n'O. OF BEDR40MS: G�ARAG� STALLS: ATT. llET. c� <br /> ESTIMA7'ED CONSTRUCT14N''VALUAT[ON (excluding land): $ (�.�,(.XxJ __ <br /> I hereby apply for a buildin�permit and i ackaowletlge that the iuformation above is complete and <br /> accurate; that the work wiU be in eonformance with the ordinances a.nd codes of the City and 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 rhat tYie work will be in accordancz with the approved plan. <br /> APPLYCANT'S SYGNATURE DA�'E: �� C��/�1 <br /> NOT,�'! Parade Homes events require separaie permit approval by 1'olice Department and <br /> City Council 60 days prior to the event. Norr permitted events will not he allowed. <br />