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Jun-25-2001 01i52pm From-CITY OF ORONO +9522494616 T-298 P.001/002 F-611 <br /> Total Pee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - 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( oRNTRACf ) <br /> JOB SITE ADDRESS: LoT S e uxx 5 v-)L itb L.�, ZIP: <br /> O LA--)ale,v.) LI O - ' <br /> NAME OF OWNER: L&4zac.ti Au-ALS C'A>=7 .PHONE: (home)1(03-780-5756., <br /> (work)l'IzA I 612, Q10 teloS <br /> MAILING ADDRESS: 154i at4-t-6"- 1,J) t'3 . CITY: int ZIP: as'-f <br /> CONTRACTOR: ' 1-V- e5 CDP PHONE: -7(0.3 575 ' <br /> CONTACT PERSON: MOBILE/PAGE+R: l2 SGc o <br /> MAILING ADDRESS: lS2 ( 614..t." .LA3 PL, CITY: C313Lvi . ZIP:SS 449 <br /> STATE LICENSE: #_3357 <br /> ARCHITECT/ENGINEER: tt\.W.WJ DeAeat PHONE: "163-1 O- <br /> MAILLNG ADDRESS: '/ 797 14h` 'y /c ti. CITY: 4g0G-- 1 Acz5 ZIP: 55 1 <br /> NAME: oN t e,2„?___ r-6REGISTRATION/I <br /> TYPE OF WORK: New _ Addition Accessory Structure, <br /> Move Remodel/Alteratiou Land Alteration <br /> PROPOSED WORE(describe in detail): <br /> 154- EL Dif- 1E319 at,FT <br /> STORIES: ZarbRI! SQ.FEET OF EACH FLOOR: 2n6. 1515 t-1.610 <br /> NO. OF BEDROOMS:- GARAGE STALLS: ATT. y . DET...• ,-. :_.__ <br /> • <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1>CJoctD. <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 S SIGNATURE: IJ' 2--ie KDATE: I Z/3/C)Z_ <br /> NOTE! garade of omes 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 />