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Slav-03-2002 01:07pm From-CITY OF ORONO +9522494616 T-165 P-002/002 F-553 <br /> Total Fee: $ Date Received:___ <br /> Emered By: Permit#: -- <br /> CITY OF ORONO - BUILDING PERMCT APPLICATION <br /> All information roust be submitted in full before plan review will be started. <br /> (please print all ieormation) <br /> THE APPLICANT IS:_~--(circle one) OWNER O,CONTRACTO --------- ---- <br /> JOB SITE ADDRESS: COCI, ZIP: SCS <br /> NAME OF OWNER: M--kU.(-e tV-\ PHONE: (home) q j_y 0 00 S <br /> (work) <br /> MAILING ADDRESS: Si CITY: ZIP: <br /> r, <br /> CONTRACTOR: 0 1 —roc PHONE: <br /> CONTACT PERS(TN: Gacz�& MOBIL+`/PAGER: 7(a" - od"( 'd'?­4 <br /> MAILING ADDRESS: I qe4,, r c L CITY: (I,<-, ' <br /> s.,,,tZIP: 65-33y <br /> STATE LICENSE: # 9(:,A14 7$ <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New _ Addition A=essory Suuc�ture <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in lletail): /�Ar A «s%5 i.t J 5. <br /> STORIES: _ SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> �J <br /> ESTIMATED CONSTR'U'CTION VALUATION(excluding land): $ -- <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building 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 accor with the approved plan. <br /> APPLICANT'S SIGNATURM �� _ � DATE: <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City CouncU 60 days prior to the event. Nan perp fitted events will not be allowed. <br /> 5 <br />