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Oct 23 02 02: 53p Gates Roofing, Inc. 763-545-2062 p. 2 <br /> 'n�v-�c�tuui ua:iuNn riue�.ii� vr vaunv r���ca��o�o I�IIb r.YYLIYYO t'b10 <br /> 'Total Fce: $ �g�• Gb _ Da�e naceived• / -Qo� . <br /> Entered By: ,,,r�./Y� Pcrmit#: � <br /> �p 2 <br /> O,�- CY'I"Y OF ORONO -BUIGDYNG PERlVIIT APP'LIC1S►TION � <br /> r <br /> All inPormation must be submitta�ua PuYI be�oro plza revfew wiil be stactea. <br /> Qvtaas�prini aU ir�or»rasion) <br /> _�__�__ .—............._. � ..... ------- <br /> THE A�Y.YCANT LS: (c�c�e one) OuTNER OR COA''TYtACTOit <br /> -.� <br /> JOB Sl'IE ApDRFSS: .25�Z S ��-p r t. �p; <br /> NAME OF OWN�.YL' S�``rv�� ._._.�.._... PHONE: (home) <br /> MAILLN'G AIaDRESS: Z�12� l t . CTl'Y:t Ear) a n} C? 7.�: SS Y�Z <br /> ._. —Y--- <br /> � C�su� Lc�..+t.,�r� <br /> carrr�cra� �--��-s �cx��' � �'s��%�s� raarrE: <br /> CONTACI'P�.RSON: +�� MOSII.FdPAGER: <br /> MA��TG ADD�tESS: a S�iM.�;�c [�, .� CY'�Y: - 7JP:yz�,���,,,�Z <br /> STATE LL�NSE: � <br /> ARC�TEC�'IENGr�iEER: PHONE: <br /> M�TLII�G ADDRES�S: CYTY- ZZP: <br /> NA1vII,,: ... YtT�CISl8�1'YOtV# <br /> TY�OF WQRK: New Adduion„� Aoccs.w�Snvc�u�c� <br /> Mo�ve RemodevAi�tion Y.and Alteration <br /> P80FOSED WO�iiK(de.scribe drr detail)_���^ro r� �- e4 A�F <br /> STO�.S: _��___„ SQ.FF.�ET OF�:ACB Fi.00R <br /> NO. OF BTUROOA�.S: GA�iAG�E STAL�S: ATT. 13E'Y'. <br /> EST�TED CONSTRUCTTdN�ALUATI011T(c�ocluclivg land): S 3� g�1- �� <br /> I herobY aFPiy !1x a tx,ikliug�u�i���I a.:i�a�wledte tbat t6�e i�ormauoa nbov�ic complere sad <br /> a�curate; t1�az the work w�l b�ia oonfo�mame wrth tbe ordia�no,Ces aad codes of Q�e C'cry aaa wim <br /> t'�c State$ui�diu�Codz; tbat I uaderstand this is nu�a peaait aad woTk is a�ot to sta�cC wittivut a <br /> permit; aad that the work wi11 be in a rdao�ce rh the a�pzvvod plan. <br /> / Z 3 �C�— v 2.� <br /> APPLYCANT'S SYG►NATURE: /� • Dc�T& <br /> N'OTE! �,�$Q�e.t eve�rts require se,parcte perm�t apprnvaY by Pnlice Dep�arananr a�d <br /> ' C.�y Couneil 60 d�q►s p�or to 1ha ewnr. Non permitted a►►eRts wY�nat be aAawe�d. <br />