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CITY OF ORONO � 6�2494616 OS/10/99 10:31 �1 :03/08 N0:210 <br /> �j5,�- <br /> Total Fte:' � D�u Received• <br /> Entcred By: Pecmit A�: <br /> CITY UF ORONO - BUILDING PERNII'T APPLICATION �-= . <br /> ����- �a-�y <br /> All Iniormatioa must bG Submitted ta iull before plan re�ie�v wW he started. � /�-�'. � <br /> (pltos�prtnt all f�{fo►�nadon) <br /> THE APPLICATT IS: (ctrcte ont) OWNER 0 CONTRACTOR <br /> _. <br /> ros s�� ann�ss: �U1 - , ., � � ._ � ��'_ z�: � G <br /> �— G� Ll��7" f-f z�Z_-t S �'_ <br /> NAME OF OWNER:��L=�/��/� f//��� �> / �l� PHONE: (home)f`��� �� ' ��-���f� <br /> —T---� � (work) <br /> MAYY.ING ADDRESS: �J/�-�,�>k���� �tt z��� d�;�CTi'I': ;� �iv�L-- -ZIP: ��� <br /> > < . <br /> S( �- <br /> ��-- > <br /> CC)NT'RACTOR:LJ}-f L C� LV S% ,�'=(.( C %7D/'`�J PI� NE: c�y� �-<3-1 � 7�5r'k� <br /> CONTACT PE�tSON: .%F f=f �1 J�, � l J MOBILE/PAGER: <br /> • � ' crt�t: lJ ' � S <br /> MAII.11�G ADD�ZE.SS•; - - �': `�`- <br /> STA1'E LICENSE: N �,v �-- <br /> ARCHITECI'lENGINEER: � PHONE: <br /> 1KAII.�ING ADDRESS: CTI'Y: ZIP: <br /> NAME: REGIS'TRATIOi�i� <br /> TXPE OF WORK: New Addition Accessory Stn�ctut�_ <br /> Movt RemodetlAltetatioa� Land Alteration <br /> PROPOS�D WORK(describe in detat�: �'C<--Z �� � -��� %' � ' <br /> �_� �-�- � - <'__ � --� <br /> 1 � <br /> STURrES: SQ.FEET OF EACH�LOOR: <br /> N4. OF BEDROQ�iS: GARAGE STALLS: A'r'T- DET. <br /> t� <br /> FSTYI�IATED CONSTRUCTIC)N VALUATION(exclud�ng�and}: $ ����c.� � `> <br /> I hereby apply for a building perrnit and I aclawwledge that the infonnation above is complete and <br /> accurau; that the work will be in confocmarxe with the ardinances and codes of the Ciry and w�th <br /> the State Building Code; that I uadecstand this is twt�permit and work is not to atan withaut a <br /> permit; �nd that the work will h� in accocdarue with the approved plan. <br /> ��r� / � J � <br /> APPLICANT'S SIGNATUREc l / � � �� �_ _ ' DATE: �F.,�_-��`_1��--- <br /> ..`..� <br /> NOT'El Para a nt Aomrs svtnls requlre separata ptrmlt approvat by Police �,?apartmir�c��� <br /> Ctty Council 60 days prior to tha eve�t. Non ptrmiKed events wtil not be cllowtd.� �`% <br /> - ,, �. <br /> u <br /> �:/��- <br />