2001-P03528 - new structure - Laserfiche WebLink

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_ Total Fee: $ Date Received: Entered By: Permit#: � CITY OF ORONO - BUILDING PERNIIT APPLICATIOl� All information must be submitted in full before plan review will be started. (please print all information) ---------------------------------------------------------------------------------------------------------------------- THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR JOB SITE ADDRESS: y�y�s �\�;/�,��,,.'� �,�..c' ZIP: ��S-3� � �fl �� /� %��-n-s� l i�- �t�Y-y��.Z NAME OF OWNER: C lFot T ��.,.,q,.1 PHONE: (home)�/�-9y�-o%s� � (work) ��'/3-i��s MAILING ADDRESS: � ��✓ D,�' ��S CITY: /�-�� L��'ZIP: s.S�s� CONTRACTOR: �-Sa� .`'�� `�` S � � G �'�- PHONE• CONTACT PERSON: MOBILE/PAGER: 1�1AILING ADDRESS: CITY: ZIP: STATE LICENSE: # ARCHITECT/ENGINEER: ,S i�a i-ra -� �c,L�-�� o�HONE: /�/.Z -3 53--/ $oZ� MAILING ADDRESS: �� " / �s�..��,;-.-✓ �� CITY: � ,,,,,� � ' ZIP: �S-Yo� NA1�1E: ,�c�P�� i7v•-�4/�' REGISTRATIO # TYPE OF WORK: New � Addition Accessory Structure Move Remodel/Alteration Land Alteration PROPOSED WORK(describe in detain: STORIES: � SQ. FEET OF EACH FLOOR: NO. OF BEDROOMS: �- GARAGE STALLS: ATT. � DET. l� ESTIMATED CONSTRUCTION VALUATION (excluding land): $ I hereby apply for a building pernut and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I understand this is not a permit and work is not to start without a permit; and that the work will be in acco with the a roved plan. ---- - : '�� _. _ _______ � APPLICANT'S SIGNA DATE: �— --��/ <r' `.��Z.�� NOTE! Parade o�Homes events require separate permit approval by Police Department and City Council 60 days prior to the event. Non permilted events will not be allowed.