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Dec-14-2001 12:46pm From-CITY OF ORONO +9522494616 T-358 P.006/017 F-479 <br /> b"-)Ar✓ <br /> + Total Fee: $ // :/ / Date Received: /, (/ / c- <br /> Entered By: M Permit It: / -- ; (7 I <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please prim all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: S / OP5I X )/ 't ZIP: <br /> NAME OF OWNER: re/% f < f K', PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: 4 ,v/f t> , �,,1/ PHONE: `>'7;-173 -5-?"3 S <br /> CONTACT PERSON: r . _ MOBILE/PAGER: <br /> MAILING ADDRESS: , , r .. ,. i ZIP. s <br /> CITY: �.�� > -;� � 34� <br /> STATE LICENSE: # 2.1 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New %'X Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): ( / /Yew N ( <br /> STORIES: SQ. FEET OF EACH FLOOR: S 7.),"7 ✓ <br /> NO. OF BEDROOMS: / GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /v( .COO <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 Ciry 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 accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ..--f JAZ //tit'? DATE: <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />