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. Ci�`Y OF ORONO � 6122494616 11/01/99 1b:05 � :07/10 N0:584
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<br /> � Total Fee: $ �, �(�• � Date Received: � �'
<br /> Lntered Hy: �'�'��� Permit#: f ��.,� �1
<br /> CITY O►F URONO - BUII.DING PERMIT APPLICATION
<br /> All information muet be submitted in full before plan review will be started.
<br /> (please print all infor»wtion)
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<br /> THE A►PPLICA►NT IS: (cirrle one) OWNER OR C�ONTRACTOR
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<br /> JOB SITE ADDRESS: ,t-, .��--- (� ��;,c� � :t.��� ZIP:
<br /> NAME OF OWNER: ��� ?� �' � ���;�: ��,,�l���, PHONE: (home) �� ���° � �`��1��
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<br /> � (work)
<br /> MAII,II�FG ADDRESS: CITY: ZIP:
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<br /> COl\FTRACTOR: ':, �r"�;,,' r,�r� �-!`,.{.,� '� ' ' . PHONE: '�`�,l.J .�-'-,��;�
<br /> CONTACTPERSON: ,� k �� ;`''C�:; �- �: >� � MOBII.E/PAGER:
<br /> MAILIN�r ADDRESS ��;��r�� t%�' �ti �-���� .�;`�� ,.�; ',,,'� CI'I'Y: �-- '?�W �. ZII'' ; c i�,� ,
<br /> STATE LICENSE: # � �f �' ��
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<br /> ARCHI'!'ECT/ENGINEER: `` "�-�;�v�� -�- (�,,����'�YYI4'.v� PHONF: �? ; �S ��;.
<br /> MAII,ING ADDRESS ���r��� ���,:�,�, �� � K ?�E� �CTTY: 'a,�.y ��.<<� ZIP: ���� ��
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<br /> �• �;. k. , '`f,
<br /> N�: :1'�a-{ :.�. r�r�.�'�� �:� �> � xEG�s��o�x#
<br /> TYPE OF WORK: New _� addition Accessory Structure
<br /> MoWe Remodel/Alteration Land Alteration
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<br /> PROPOSED WORK(descrihe�n detain: � �: �, � : � I�t< !� ,� �r f_
<br /> STORI�S: �� SQ. FEET OF EACH FLOOR: 1'l��-. -��� =�T'%��= ��� ;"l `�`�
<br /> NO. OF BEDROOMS: -� G,A.RAGE STALLS: ATT. � DET.
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<br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $_ E��.��� �
<br /> I hereby apg]y far a buflding permit and I acknowledge that the information above is complete and
<br /> accurate; that the work will bc in conPormance with the ordinances and codes of the City and with
<br /> the Stx�e Buildin� Code; that I understand this is not a permit and work is not to start without a
<br /> permit; and that the work will be in accordanee with the approved plan.
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<br /> APPLICANT'SSIGNATURE: ,;��,t;�l�;.; !-��,�t ..;_,�, DATE: �''�����`'
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<br /> 1VOTE1 Parade of Home� events requir� separnte pBrrriit approval6y Police Department and
<br /> Ctty Counci160 days prior to the event. NoR permitted events w�ll not be allowed.
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