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Jun-25-2001 01:52om From-CITY OF ORONO +9522494616 T-296 P.001/002 F-611 <br /> Total Pee: $ �' Date Received: <br /> Entered By: 22 L) <br /> Permit#: /; <br /> O , (/ V/`-'/CITX OF ORO - BIT[AnNG PERMIT APPLICATION ON <br /> P);;-::/7 <br /> - <br /> All information must be submitted in full before plan review will be starte /' r� <br /> (please print all information) f j/ j1/ i <br /> . Ili /14A* ' <br /> TEE APPLICANT IS: (circle one) OWNER OR CONTRACTOR /91) / �' `�/%' <br /> 11i/,,L4/�,_, <br /> JOB SITE ADDRESS: tliS k'��c)tAD l.�t.4.. ) ZIP: � i <br /> NAME OF OWNER: LeLutavtS ✓�? PHONE: (home) -79a 5?SC <br /> (work) -76 v--7g 0-5-r$4. <br /> MAILING ADDRESS: 1at ctqt" L.iJ. t*,. CI'T'Y: �1ztu ZR': 5sgLi� <br /> CONTRACTOR: ' ar, Rvrvi.z •-e PHONE: Z(03-7 a0-6 7 Sc. <br /> CONTACT PERSON: 1Jl d -Q. 1C�eb't'� _MOBTLE/PAGER: 417‘2-sci -eAS <br /> MAILING ADDRESS: 1,5D t °rq'E'^ L - t‘p6, CITY:aI 4vL Q ZIP:SV-Vi <br /> STATE LICENSE: #_1357 <br /> ARCHITECT/ENGINEER: RAT\ vvel £ 4e.�tcrul PHONE: 77o $0o4 <br /> MAILNG ADDRESS:91 ez jI1Prtore lie- CITY: 1:31.atk.e. _ZEP:$ ,f9 <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New X Addition Accessory Structure, <br /> Move • Remodel/Alteration Land Alteration ra <br /> PROPOSED WORK(describe in detail): <br /> STORIES: 1- SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: 1 GARAGE STALLS: ATT. X • DET..:- 4.. .-_: <br /> ESTNi 1AT'ED CONSTRUCTION VALUATION (excluding land): $ „rY� <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 ac ance with the proved plan. <br /> APPLICANT'S SIGNATURE: )"-- DATE: <br /> NOTE! garad'e ofHoomes 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 />