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< ��lY OF ORONO � 6124730510 09/24/9b 14:00 �1 :02/03 N0:522 <br /> Tora1 Fee: $ '�� � �7� Date Received: <br /> Entered By: �<.:-� Permit�i: 'i C �j <br /> CITY OF ORONO - BUILDING P�RMIT APPLICAI'ION <br /> AU� informatlon must be submitted in full before plan review will be started. <br /> . (please print all ir�format�on) <br /> THE APPLICANT IS: (circle one) OVI�NER O CONTRACTOR <br /> JO$ SITE ADDRESS: 7a2� N?�?�'7'�I 1�-t`M� ��''i✓e._ ZIP: �S3(o�/ , <br /> �. NAME OF OWNER: G'n���-� PHONE: (home) `f7c3-!P`1 r/ <br /> (work) ,r2as'-9�9� <br /> MAILING ADDRESS: `7oZD lJ . �v►� �r. CITY: o ZTP:-,;��--� <br /> CONTRACTQR: � ev�Wa � e� e�, P�#ONE: .�7/-7 8'�:� <br /> CONTACT PERSON: o o ,� Ni0$ILE/PAGER: �S'�(-a F'rs�-/ <br /> � � 1VIAIL]NG AUl}RESS: 35'D�7�3^4 A�e, I�l.E. Sar� l CI7'Y: �r,-d l J�MN ZIP:� <br /> ���'AT� LICENSE: k �oo�a�3 t� <br /> . A�tCHITECT/ENGINEER: /� PHONE: <br /> M�ILIlVG ADDRFSS: CITY: ZIP: <br /> NAME: REGYSTRATIUN# <br /> TYPTi OF' WORK: New Addition Accessory Structure <br /> Move Remodel/Alteratian Land Alteration <br /> ti <br /> PROPOSED WURK(deseribe in detai�: /Q�p/a�c. 02 w��dows ;� J-1 v,,,� r,,�.`�n.� <br /> �ex�sf:����.T„ <br /> STORIES: SQ.FEET OF EACH FLOO�t: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> FSTIMATED CONSTRUCTION VALUATION(excluding lan�: $ a p6� v J <br /> I h�reby apgly for a building petmit and I acknowledge that the information above is complete and <br /> accurate; that the wflrk will be in conformance with the ordinances and �odes of the City and with <br /> ' the State Huilding Code; that I understa this is not a permit and work is not ta start without a <br /> permit; and that the work will be a o dat�ce w�th the approved plan. <br /> APPLYCANT'S SIGNATURE: DAT'E: .5���g� <br /> % <br /> NOTE! P e oj'H�„s ev s requfre separate permit approval by Pol�'ce Depart�nent and <br /> G�ty Coune�l 60 days prlor to!he event. Noa permitted eveats will not be allowed. <br /> Received Time Sep, 24. 1 :42PM Print Time Sep. 24. 1 :43PM <br />