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CITY OF ORONO 6124730510 09/24/96 14:0011 :02/03 NO:522 <br /> F o <br /> Total Fee: S J��`�� 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 i4ormation) <br /> THE APPLICANT IS: (circle one) OWNMt O CONTRACTOR <br /> JOS SITE ADDRESS: 24OuD 'BE 04 F-0 . ZIP:,—e''5361 . <br /> NAME OF OWNER: C AQ.OL 401C1�. 5 m:T 4- PHONE: (home),4""I I •DO 13 <br /> (work) <br /> MAKJNG ADDRESS: 2480 OW ISEAUk 9-0 CITY: FVA%Wee ZIP: <br /> CONTRACTOR: @�nC&r4AL- 1S%i ArAD---1(LS%MN PHONE: 430-725f <br /> CONTACT PERSON:,,,, SOLsy 16 • MOBILEMAGER <br /> MAUJ NG ADDRESS: 1'100 Ue44-E CffY:tjajK 13Ew we-ZIP: S51 t0 <br /> 'STATE LICENSE: li 2004AG30 - <br /> ARCH TTECT/ENGV4EER: V� /A PHONE: <br /> MAILING ADDRESS: �- CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration X� Land Alteration <br /> PROPOSED•WORK(describe in detail): V&VLA C E IS' W 1 nr DO N S <br /> Id /40ME • HIT" COMR.E71E /VES N1r-42ZYt -+VW(,3 LpjE0Ev 313Tirv(- <br /> o�v:r�icrz <br /> STaR1E.S: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> 00 <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3 )1%ZS". <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 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.-� DATE: <br /> TI NA <br /> NOTE, ran* of MgMa events requ re sepowe permit approval by Police Deparbaent and <br /> Chy Council 60 days prior to the event. Non-pemdtted events will not be allowed. <br /> Received Time Sep, 24. 1 :42PM Print Time Sep. 24. 1 :43PM <br />