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. SEP-19-2001 14�07 � M CO HSP-3RD , -� 1 � 612 321 5279 P.04/05 <br /> . - �Encered $y: (C���-i'�-�� .� `-��°, `� Permit�: <br /> ,�,-:, /�/ -�3 <br /> � YTY OF ORONO - BUILbING PERMIT APPLYCATION s� �'� <br /> C ,;, �� <br /> � r;�;� � %�> ". - < �-_ � � <br /> All iaformation must be submitted in fl�il before plan review will be sta�ted. �'1 �� <br /> (please print all i�fornsation} <br /> ---- -----_�....�---_._.._.._..�....._..�_.._.... ....___�.........�---- __------ <br /> T� APPLICAN'I' TS: (circle one) OWNF.R 0 ONTRACTOR <br /> do8 SrrE aDDxEss: .�6 'u�o Nort�+ F�nr. Y�,A� ZIP: s5 3 S � <br /> NA.'Vi� OF OWNER: r�1�Q�� ��- PHONE: (home)�5o�- 7�f S•�ja.(e S <br /> (work) <br /> ?�sau,�tG annx�ss: �6 SD �loa.d'I. ��. � crrY: oc�.,o z�: 5� <br /> CONTRAC70R: I�tl � �^a'� PHONE: ���'3ZI ���3� <br /> CONTACT P'ERSON:_�. !a l o�.G�• MOSILE/PAGER: b I d-�i i a-Z�c79 <br /> MAII.�iG ADDRESS: 7Db (.As xl l�. A�,� CITY: l�'�I.s ZIP: SS�o z <br /> STATE LiCENS�: �' b�• �� �,9 BSL �c ��Z- 3aI - 52�9 <br /> ARCHTTECTlENGIl�tE.ER: PHONE: <br /> MAI�,II�iG ADD1tESS: CITY• ZIP- <br /> NA,ME: �tEGYSTRATI01�'# <br /> TYPE OF WORS: New Addicion Accessory Strucntre <br /> Move RemodeUAlretatian � Land Alucation <br /> PYtOPOSED WORK(describe in d�tai�: ��'2-arF � �+�'�'�'��= ����A'�� ��' <br /> STORIES: SQ. FEET OF I:ACH FT.00R: <br /> NO. OF BEDROOMS: GAR.aGE STAY,.I.S: ATT. DET. <br /> ESTII�tA1`ED CONSTRUCTtON VALUATION (excluding land): $ a3, 9l S <br /> I hereby apply for a building permit aod I acla�owledge that the inforrnation above is complet� and <br /> accurace; �hat the wnrk will be in confornsance witb the ordiaaaces aad eodes of rhe Ciry and wich <br /> the S�ate Building Coda; tlnat Y understand this is not a permit and work is uot to stan ai�hout a <br /> permiL; and that che work will be in accordauce with the approved plan. <br /> APPLICAi�iT'S STGNATUI2E: DATE: � 'fci 'O l <br /> 1VOT�E! Parade ef Aonees evenls require separate pernrit approva!by Police l�epartrneni and <br /> City Council 60 days prio�to the eveRt. Noa perneit�ed events will not be allowed. <br />