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Ju1-08-2�02 08:43an Fron-CITY OF ORONO +9622494616 T-586 P.005/007 P-t55 - <br /> TotaY Fee; $ . Date R.eceived: 7��d' �� <br /> ` Entered By: Pcrmit#: � �3�7 <br /> T� <br /> CITY dF OYtONO - BUiY,ri�TG P�t.N�T APP��CAT'IQN <br /> All inforrnaHon must be subautted in Pu]1 bef�re plan review will be started. <br /> (pleaseprinr al!informarion) � <br /> -----------------------�-____._.�.�____�...___._._ , ._�..._ <br /> THE APPI.�ICANT IS: (circle one) OWN�R OR CONTRACTQR <br /> JOB S� ADD1t�SS: , (� �lo r� �o re�.��.. z�:_ _ 55��q I <br /> r�� oF owr�.�x: on �1 b t,t ol pxorrE: mo�>q5 -� -g�8�' <br /> (wark� <br /> MA1LPi Gr ADDRESS: �C���-- CY"i"Y:_ ��ZrP: < < f <br /> � <br /> Oc�J G12 , <br /> CONTRACTOR: PHONE:.� �j�—�}.-rj _�� <br /> CON1'ACT P'ERSON: j ! BILE/�AG�It; <br /> 1VSAYY.IlYG ADT�YtESB• : �:���� <br /> " STATE LYCENSE:� <br /> ARCHTTECT/�NG�IlVEER: PFYOt�1E: <br /> . MAILING ADARESS: � CY'Y'Y: 7.YP: <br /> NAIV�: REGISTXtATION# � <br /> TXPE OF W�R�: New Adciition�„ Accessory Stiv�wre <br /> Move RemodcllAlteration Land Alteration <br /> PRUP A �RK{descrdbe in d aiq: �V C�i p 0 <br /> ��� 11r1 �°T <br /> ��6�� <br /> ST�1tIES: SQ.FEET OF EACH FLOaR: � �' x a I <br /> NO. 4�'BEDR�OMS: GA�tAGE STALLS: ATT. DET. <br /> EfiTLM1SAT�D CO:�IS�'YtCJC'rION VALUA'1'YON (excludinb land): $ �l�b� <br /> I hereby agply for a building pe�c and I acknowledge chat the information above is complete and <br /> areeurau;tha,c ihe work will be in confo�manc�wich th�e ordinances and cades of thc Ciry and with <br /> thc State Building Code; that I understaad this is not a permit a�d work is not to start�vithout a <br /> permit; and that che wc►rk will in accordance w' h the ap,�rav�d plan. <br /> . <br /> APPY.YCANT'S SIGNA DATE: �'�—��' <br /> � R!pTE! Par de o�,�events require separate permit apprvval by 1'oltce Depqrd�ent a�d <br /> City CounCi160 days prior to the event. Nan permt�ted events wilY nvt be allowe� <br /> S <br />