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Jun-25.2001 ¶1 :52Pm From—CITY OF ORONO ' +9522494616 T-298 P.001/002 F-611 <br /> Total Fee: $ / F''1 .- ��� Date Received: <br /> Entered By: _ i` Permit#; 4 o 5-23Y <br /> --mgesminsacia, <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 /> • <br /> TI{E APPLICANT IS: (circle one) I WNER b R CONTRACTOR <br /> JOB SITE ADDRESS: (C ) La l It vi U C)_ ZIP: <br /> NAME OF OWNER: L.121-6(0.-Y\ }SY4.E (Op. PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: 1S?( G2n.&, CUT: 1 �V Q ZIP: 5 L-iz <br /> CONTRACTOR: ' -��V a t-t�►�/CC Co✓p PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> IVIAILING ADDRESS:(�,a L et'LL L l J N t CITY: IJlzwuZ ZIP: �11- qq,.. <br /> STATE LICENSE: # 135 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# • <br /> TYPE OF WORK: New Addition_ Accessory Structure, <br /> Move Remodel/Alteration \ Land Alteration <br /> PROPOSED WORK(describe in detail): .4 6X! <br /> BTU s� cc • <br /> STORIES: SQ.FEET OF EACH FLOOR: _ . -- <br /> NO. OF BEDROOMS:• • GARAGE STALLS: ATT. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ ©Z�C� . <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: Uta"C„..... DATE:t0 /62— <br /> NOTE! <br /> Eares...efikinsi 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 />