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Oct-23-2001 08:14am From—CITY OF ORONO +9522494616 T-049 P.006/007 F-642 <br /> � 1 <br /> Total Fee: $ "I p Date Received: 146 <br /> • Entered By: ( Permit#. <br /> 14 koG 7161 <br /> CITY OF ORONO - B PERNUT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please prim-all information) <br /> THE APPLICANT IS: (circle one) GWNER OR �ONLTCT_0I � <br /> JOB SITE ADDRESS: � ZIP: <br /> NAME OF OWNER: t PHONED) <br /> —] (work) <br /> MAILLVG ADDRESS:' L 'CITY: O QLD ZIP <br /> CONTRACTOR: . PHONE: CI z' <br /> CONTACT PERSON: OBILE/PAGER: <br /> MAILING ADDRESS: I ja _ CITY: Lilln Val: `t?ZIP::L� <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE- IL <br /> 6 <br /> MAILING ADDRESS:' CITY: ZIP: <br /> NANIE: S usa N 141 sv� 4�6_1b" REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> OPOSED WORK(describe in d tail): I i ll t <br /> P <br /> STORIES: SQ.FEET OF EACH FLOOR: ^' 7 .Svo <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ #sbs- 0aa <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 acc rdance WiAh the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: 16 - Z'4-GI, <br /> NOTE! Parade of Homes 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 /> 5 <br />