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Jun-25-2001 01:52pm From-CITY OF ORONO +9522494616 T-298 P.001/002 F-611 <br /> syn <br /> Total Fee: $ <br /> 1 -75 Date Received: 'C2.5- 4 <br /> Entered By: ��� �"� (4)---)kc, Permit#: 1._r _ <br /> /6 Fc-S u <br /> CITY <br /> 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 OR CONTRACTOR <br /> ' <br /> JOB SITE ADDRESS: l4('S GJi/IDIJ ZIP: 5.S' 3 S<— <br /> �elt� <br /> ray-• nn v PHONE: gitif -1�3-780-5Zse. <br /> NAME OF OWNER: L (w, 1 CotZ-590 41965 <br /> MAILING ADDRESS: 15a1 cm LA). )O, . CITY: ZIP: 5541Ky <br /> CONTRACTOR: ' l,e.Lvak. trv.e.5 Cove. PHONE: ?4,3-?$D- 5750 <br /> CONTACT PERSON: h't.Lka KoP<stL� l MOBILE/PAGER: - 5o- 75 <br /> IvIAIL)NG ADDRESS: I.N. NEr CITY: \3\a ti ZIP: 55'1119 <br /> STATE LICENSE: # 1357_ <br /> ARCHITECT/ENGINEER: t?Iahni DeSI4. PHONE: 743 .780' 8 ' <br /> MAILLNG ADDRESS: gtbo li•tvwcve. 6 ,CITY: (31a4 # ZIP': vis <br /> NAME: <br /> REGISTRATION <br /> TYPE OF WORK: New Addition )( Accessory Structure, <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORD(describe in detail): ADD 64beilee& <br /> STORIES: SQ.FEET OF EACH FLOOR: c>96 <br /> NO. OF BEDROOMS:• _ GARAGE STALLS: ATT. 1ET...._�. 4 . <br /> TEA CONSTRUCTION VALUATION (excluding land): $ 444M,EST�A. <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 /> 'S SIGNATURE: W ,� DATE: -I )11405 —. <br /> APPLICANT .. <br /> NOTE! parade of Homme 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 />