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Jun-25-2001 01:52pm From-CITY OF ORONO +9522494616 T-298 P.001/002 F-611 <br /> �r� / 9 } <br /> _/ • L-, Date Received: •�'� <br /> Total Fee: $ Permit#: f:'� �s1�/ l <br /> Entered By: /7� ,�; ,7%r / - <br /> CITY la OR"ONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: -^!(circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: LZ77- (o <br /> NAME OF OWNER: _ PHONE: (home) <br /> (work) <br /> MAIL P'G ADD'I S: . CITY: <br /> • <br /> CONTRACTOR: -.11„Lieziy-t PHONE: <br /> CONTACT PERSON:_PI It-e 1<a.se- _MOBILE/PAGER: (2.-a98- <br /> MAILING ADDRESS: !a-1 ... sane_ Mt.. .CITY: ZIP: <br /> STATE LICENSE: # 001351- <br /> k... 1"'" <br /> �ARCHITECT/ENGINEER:'t LAtu1J\,.WSL-LPHONE: �1 ZIP: 55 t zT <br /> MAILING ADDI2FSS:y?q7 W'yJ''..40y /1) CITY:A,d e,. 14/h <br /> REGISTRATION# <br /> TYPE OF WORK: New ✓ Addition Accessory Structure,__ <br /> Move • Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): b. <br /> STORIES: SQ.FEET OF EACH FLOOR: j..{ -in Ib6tp 2rri.Reetz167{ <br /> NO. OF BEDROOMS:• 5 . GARAGE STALLS: ATT. 3 _ DET. •-. =-__ <br /> ESTIMATED CONSTRUCTION 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 accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: _ DATE: b"c>S- O <br /> NOTE! parade of lomes 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 />