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CiTY �F ORONo � 6124730510 09/09/97 16:25 � :02/06 No:670 <br /> 'Total Pee: $ ='( � � <br /> - �� Dat�Received: <br /> Entered By: f #: <br /> Permit •� ,i�� <br /> CITX UF ORONO - BUII.DING P�RMIT .APPLICATIQN <br /> All information must be subrn.�tted In full before plaA, review will be started. <br /> (please p�nt all ir�fornuuio�) <br /> T�iE APPI,,ICANT �S:---�-(circle one)-- OWNER OR CONTRAGTOR'-----------~^----------- <br /> JOB SIT� ADDRESS: �jo�(� JrJ�� S�,s-� (�u� ZXP: S� � `1 ( <br /> � � _ <br /> NAM� OF OW1�1ER: PFIOIVE: (home) .��-ac� � <br /> (wv�k) �S� v' <br /> MAII.ING ADDRFSS: 3�� ( ��,�.��L..�.��:,�; /�s��,CTI'Y: s�_ � zIP:--���6�' <br /> f <br /> corrrx�.cTox: ��ti��.� Fxorr�: <br /> CONTACT PERSpN: MUBILT�/PAGER: <br /> MAILING ADARESS: CI'�"Y: ZIP: <br /> BTAT� LICTNSE; # <br /> �i.RCHITECT/.�NGINEER: PHONE: � <br /> MAILING ADDRES3: ��y: �Ip,; <br /> N�� REGISTRATION# <br /> TXPE OF WORI�: New � Additioti Accessory 5tzucture <br /> Move Remodel/Alteratioa Land Altc�ration <br /> FRUP�SF.i)WORK(describe ire detai�; � � �� <br /> 3'TORIF�S: SQ. F�ET OF EACH FL40R:_ ��G sy �`� <br /> NO. OF IIEDROpMS: GARAGE STALL9: ATT. DET�^ <br /> �STIMATED CONSTRUCTION VALUATIQN(excluc�ing lan�: $ 15��'� c�v <br /> I htreby apply for a butlding permit and I acla,owledga that the information above is complete and <br /> axuratc; that the work will be ormance with the ordinances and codes of the City and with <br /> tha SCatt Building Cod�; that unde stanci this is not a perrnit and work is not to start without a <br /> perin�t; and that the wv�k wil� be in ccordanGc wi a roved plan. <br /> APPI.ICANT'& SIGNATt1RE: . l��l' DAT'E: / * � <br /> NOTE! j'g,�e of H�� events reQu�re sepa �permlt approvat by Police Depardnent nnd <br /> GYty Couaefl6A days prior to the eWer�t. Non pa»nttted ever�ts will not be allvwed. <br />