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. � • i - v <br /> ` j3st�e ReCeived: ` <br /> Tou1 Fee: S /-��� . ` ` . <br /> Enteced 8y: ,_� ����-= Perm�t R' f,! .. ; <br /> , :. CITY QF ORONO - BUIIrDII�IG PERNII'T ApYLICATI�N J`��� �{��../ � <br /> �, : <br /> / Al� [ntormetlon muaE b�submltted In iuU helore p1at�s��e1Y will 6e started. �� <br /> ;���' (plta�e prlru oll�+�'ornutrton) <br /> t�" -- ---_---� ..____�____��.. <br /> ., _.�---- --- <br /> T�E AppI,ICAI�T IS; (clrcle arce) OWNEA 0 CONTRAC.`COR <br /> � �J��.?�� <br /> �oe s�� �innnF.�S9: ���vl`- ��' - - `�' �- �-� --- z�: <br /> — c..-� c:r t.� �_,��� �-(t� 1.•r S {;. � <br /> c , � �. . <br /> NAME OF OYYNER::=J(.:?�/.�`� f �- �" ` PFi�NE_ (home)���}' "f��/ ' c����L/ <br /> (��,i <br /> riAII,II�IG ADDRESS: . �U/ - ���_ � , , )� CI'1'y:.s11',� ��.�r� �� ��`� �� <br /> :�L:�'L � `, r-��_- <br /> CONTRACTOR:� C_: (.: ) � <:� _ �, �. . � PH��i ���:� t� I ��_,r k� <br /> CONTACT PE�tSON:;,��f �'= �=.1,�.1.f� l�'�L MOBII,E/PAGER: <br /> MAII.Il�'GADDRESS: �� �' � `_ ..L. . �/c: CrTY:,/YI,��L_S��: %--�_ c . � c� <br /> $TATE LICENSE: �Y - rU � � , `� C�� 3- <br /> ARCfIITECTlENGWEER: PHONE: <br /> 1ViAIi.ri�iG ADDRES�S: CTTY: �� ... <br /> NAME: RFGi.S7'RA'F�OI�i A� <br /> 'TYpE OF WORK: New Addition,� Accessory Stru�ctun <br /> Move RemodellAlceretion,� T.and Altscatioa _ <br /> PRQPQSED WORK(descrtbe tn deralQ: �,�'CZ:1 ��� ' '�<:' ' 't:.t' .� : � <br /> , , � � � - � :.-, - - :,�. <br /> ��! �.E�... l_:� <br /> �:. <br /> 6TOR�S: � SQ,FF.�T OF E�CH F'i.t3UR: <br /> NO. OF BEDR�O�S: GARAGE STALLS: A?7• DET, � <br /> 'I'ED CUNS"TRUCT�ON'VALUATION(exclud�ue lan�: � ���7 U � ' �� <br /> FSTIl�IA <br /> 1 Aereby epply for 4 bu1lding p�rmit and I atknowled�e o�rdtina�ces a�n�codes of the City�and wltb <br /> ucunse; ch�t the wot,k will ba�n coePormar�e w�th the �na c <br /> the State Bulld�ng Code; thst I u�derstaad tbis is opt�p����d work is noc to start wSthout a <br /> permic; and that the wocic wilt be in eeeordance wlth che approYed p1an. <br /> , - Jf '. '`r ` �_�-f.:(_.� DATE: �r'�I J- ����}.,_.. <br /> APPLiCANT S SIGNAT[lYt�: / � • <br /> NOZE! ��t�l.�ls evs�f�re�u�rr :epa►ate p�ermt�t tsrw�ll aot b�1a11 wtda�errt a�d <br /> LYty Gounc�t 60 days pr�or 1a the e�ent. Noa p��n <br /> ZO'd dSt = Zi ZO-EZ-U�C <br />