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� � 'f�r-06-20U1 02:03pm From-CITY OF ORONO +9522494616 T-629 P.0�9/O10 F-929 <br /> Tota1 Fee: $ Date Received: -�'°� <br /> Entered By: Perznit#: �� -� `��_ - <br /> CIT�' OF ORONO - BUII-DYNG PERN.IIT APpLICATION <br /> All infornaation must be submitted in ftiull before plan review will be started. <br /> (please print all information) <br /> ----------------�-------------------------_--_-- <br /> -----��.^--- . . -- — ---� <br /> ________---�____��.�__�------ . <br /> TTiE App1,ICANT TS: (circle one) 4WNER OI�CONTRACTOR� <br /> �OB SITE A.DDRESS: 2 Z'-�'O '1�02� S - e�J- ZYP: 553 g f <br /> NAME OF O�VI��R: M►�^�� ioax� �..��C�-- +=�,r� T r��-R2;�P�ONE• (home) °�sZ) �173- 73�01 <br /> (work) <br /> 1VxAT�.,�TG ADDRESS: 22`�� t�oert� St+oa� be��� C�TY': �,1,4•[z��q ZIP:� <br /> CONT�tA.CTOR: M• A• Q i�-N i o� PHONE:��l9 3 S Z 2-21 o O <br /> C4iV'TACT PERSON: QK ��.��t� M�B�E/�'AGER: (_ �►z ) 7��o-a727 <br /> 1VIAII..IN G ADD�2ESS: ]�o M£�o ow L u. o�-� CTTY: M P�s ZTP: ��1 SS�f Z Z- <br /> STAT�LICENSE: #f <br /> A�2.CI�TTECT/EI�GINEER:,�n�n�t �Tu� 1�:Stc�n PH�NE: � tc�z 1 z3fj.D00S <br /> 1�TAILING AAD�2ESS: 30 h9oe+rt �''2° sr. k�G STRATION# z�' SSy o f <br /> NAME• ►...�� '� <br /> T'i'T?E OF '4VORK: New �C_ Addition Accessory Structure <br /> Mo��e RemodellAlteration Land Alceration <br /> PROPOSED'�V0�2.K(describe in detain: C��S►�rt�c-i��tJ t �r� Q�`�-U' ��`�"�'�'� <br /> O r ��[.I� n n� <br /> STOR�B: _�- SQ.�'EET OF EACH FLOOR: <br /> N4. OF BEDROOMS: . GARAGE STA�LS:, ATT. DET. <br /> ES"rIMATEll C4\'STItUCTION'vAI-UATZON (excluding Iand): $ j, ��o, o Qc� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; tha�the �vork wiil be in conformance with the ordinances and codes of the City and with <br /> the Sta[e Building Code; thac Y understand tius is not a permit and work is not to stan without a <br /> permit; and ihat the work will be in accor ance with e approved plan. <br /> � 3�S�or <br /> � APPLXCANT'S SIGNATURE: DA'I'E: <br /> NOTE!� Z'�-_o��g� Qyents require separate permit approval by Police l�epartment and <br /> Ciry Council 60 days prior to the event. No�t perntitted events will not 15e allowed. <br /> . 9 <br />