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. Jun-25-2001 01:52pm From-CITY OF ORONO +9522494616 T-298 P.001/002 F-611 <br /> Total Fee: $ /c-`3 <br /> Date Received: /,6/C `- <br /> Entered By: Permit#: al - <br /> t% C"- 17,d <br /> C,UiS( ), /r <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in.full before plan review will be started. 714A <br /> (please print all inforniati• • ir 1 /1.. n�_ ti► ,� <br /> THE APPLICANT IS: (circle one) OWNER a CONT c• C I R c f , , <br /> JOB SITE ADDRESS: 5E) W A bw ick ZIP: <br /> VW <br /> NAME OF OWNER: _d-_1--Q-t"- 5 PHONE: (home)7e3 7 .e) 5 75 ' <br /> (work)__ , <br /> MAILING ADDRESS: 1A42/99e112,h v CITY: wnLe ZIP: S541',7 <br /> 1�4" <br /> /1/0,n495 a•-, PHONE: 70,3 7 k4) 5'7S4 <br /> CONTRACTOR: � -- <br /> CONTACT PERSON: j L4E6 S _MOBILE/PAGER: <br /> MAILING ADDRESS: •SkU" AS_a53a ' CITY: ZIP: <br /> STATE LICENSE: #____) 3 / <br /> ARCHITECT/ENGINEER: .. _ PHONE: . <br /> MAILING ADDRESS; CITY: _ ZIP: <br /> NAME: REGISTRA'T'ION# <br /> TYPE OF WORK: New Addition x Accessory Structure, <br /> Move ‘ Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): .4...mg. dx1 D "' 1Z ite - - <br /> iw6UK , <br /> STORIES: SQ.FEET OF EACH FLOOR:NO. OF BEDROOMS:- / <br /> GARAGE STALLS: ATT: • a ' .. .--,,,--,4 . ,2,..-......_- <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ <br /> // gOCJ <br /> apply for a buildingpermit and I acknowledge that the informatio above is c. _. . ete and <br /> I hereby pp y - <br /> accurate; that the work will be in conformance 'th the ord' : ,�, and codes o I.e City and with <br /> the State Building Code; that I understand a' s s not - •- .•, _ id work is not to start without a <br /> that the work will be in acc-rd- rce wi ••e a,.roved plan. <br /> permit; and �/PI ;c.7 <br /> APPLICANT'S SIGNATURE: DATE• <br /> NOTE! garade fH_r•Ws events require separate permit approval by Police Dept <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />