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Aua-20-2002 12:52pm From-CITY OF ORONO +9522494616 T-874 P.002/003 F-586 <br /> , I � '�' <br /> 1 otal Fee: $ Iaate keceived: x�`�L,� -L%-� <br /> Encered BY� �'�— Permit#: .�rs j <br /> lr j �l. �' �,. �� �� <br /> CITY O OR�N -�iUILDING PERNIIT APPi,ICATTON <br /> Alt information must be submitted in fttil before plan review will be started. <br /> (please prinr all informarion) <br /> ------------------- <br /> THE APPLICANT IS: (circle one) OWNE OR CONTRACTQR. <br /> JOB $�TE ADDIZESS: ,20 P�tl��,�od E�ad 4�iy�zta NN ��: 55391 <br /> �TA.MC dF OwN�R: Verena L. Pearson PHOiVE: (110me)_952.473.5237 <br /> (Wo�k)dau hter Judie 763.553.1144 <br /> 1VIAiLING ADDRESS: S�e CITY: ,ZIP: <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/'PAGER: <br /> �LING ADDRESS: C�TX: ZIP: <br /> STATE T.YCENSE: # � <br /> A�tC�TTT'ECT/ENGAVEER: P�ONE: <br /> iV.�AILi'rr'G[�iIiDRESS: CYTY: Z1Y': <br /> NAME• REGIST�tATION#� <br /> TYPE OF WORK: New Addition Accessory Suuccure <br /> Move �Remodel/Alteration � Land AlteraCion <br /> PROPOSEb V�ORK (desC►'ibe in deta�n: replace existinq deck <br /> STORIES: one SQ. + +�T OF EAC�i FT..00�: 220 SF <br /> N4. OT BEDItOOMS: GAR1�,G� STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTYON'V'ALUATION (ea�cluding land): $ 2�oo.00 <br /> I hereby apply for a building pernnit and I acknowledge t1aaC the information above is coznplete azxd <br /> accurate; that the woxk will be in eonformance with the ordinances and cod�s of the Ciiy and wii� <br /> the Stace Building Code; that I understanci this is noC a permit and work is noi ta start without a <br /> persnic; a�d that the work will be in accordance with the approved �lan. <br /> APPLYCANT'S SIGN.A,TURE��.�e..�,� ,� o'� �-� DAT'E: o '�I_- �Z __ <br /> NOTE! P r Q;�,� events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />