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Jul-18-2001 11:49am From—CITY OF ORONO +9522494616 T-436 P.001/002 F170 <br /> r <br /> Total Fee: $ 9 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 /> TEE APPLICANT IS: (circle one) OWNER OCONTRACTOR ) • <br /> JOB SITE ADDRESS: -3,)_0 Woo o c l I ZIP. <br /> NAME OF OWNER: , . .PHONE: (home) `f 5 1 CJ,-) _ 00 S <br /> (work) <br /> MAILDIC-ADDRESS:'2)30 l,LO oo cQ l t A cCITY: Cow ZIP: <br /> CONTRACTOR: Le s Svcsv v �� PHONE: • 9.5: %/- ?H <br /> CONTACT PERSON: 4 ( « MOBILE/PAGER: <br /> MAILING ADDRESS: ; [-S ( CITY: j0 0L-r -Fo&ZIP: S S'L)D 0 <br /> STATE LICENSE: # 10 6-6;0 l� <br /> ARCIIITECT/ENGINiEER: (CA-. . 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): -La �` �v' ( e y 0J-T• rL <br /> �ti'► C c C -ct s 4 • <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS:• GARAGE STALLS: ATT: • DET. •-= - . • <br /> ESTLVIATED CONSTRUCTION VALUATION (excluding land): $ )---) 39 `3- --)-,00 <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 /> APPLICAN'T'S SIGNATURE: „AL c L) DATE: / - 3-03 <br /> NOTE! Parade of Hms events require separate permit approval by Police Depgrtment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />