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Jan-09,2004 12:16pm From-CITY OF ORONO +9522494616 T-619 P.010 F-551 <br /> Total Fee: $ C0�1 0 Date Received: I-e-0 4 <br /> Entered By: Permit#: fl o 7/S <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> 0'\ All information must be submitted in full before plan review will be started. <br /> (please print all infornuuion) <br /> 1\ --____________________---«--«---------------«------------------- ------- ----------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: Z t t7 �Yo�Y4• S�+o^'Q (7a. . tAJ ZIP: <br /> NAME OF OWNER: (�vNc o.� �. C-�''�`'�. PHONE: (home) <br /> (work) to1Z- °li`i-o575 <br /> MAYLINGADDRESS: SHE �'Na,a„�,.IMa.►w�1 CITY:k9AMz&*rL zIP: Ss3g" <br /> CONTRACTOR: aolr► PrVc�. Sf• PHONE: `t5 Z-473-I'-3 l <br /> CONTACT PERSON: It Lv" MOBILE/PAGER: !cl z.-914+- e s 7:5 <br /> MAILING ADDRESS: 945- T NAA!&--% hty-.v CITY: Wi ZIP: SS 3g I <br /> STATE LICENSE: # 141'�5 E�2.,N <br /> ARCHITECT/ENGINEER: Lv'vl4w*-\F&O"• PHONE: <br /> MAILINGADDRESS: CITY: MIN <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New_ Addition Accessory Structure . <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: C S � We"r `^b''^^e- <br /> I qr 2S">I <br /> STORIES: 7— SQ.FEET OF EACH FLOOR: 2-,04 7,'t'I-,L- <br /> NO. OF <br /> NO. OF BEDRO MSO : 4 GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTIONVALUATION(excluding land): $ GZS, 000 <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 ben accordance with the approved plan. <br /> APPLICANT'S SIGNATURE LDATE: <br /> NOTE! Parade of-Homes events require separate ermit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 0 <br />