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Sep-24-2001 02:09pm From-CITY OF ORONO +9522494616 T-875 P.006/007 F-145 <br /> Total Fee: $ 5 59 �`' Late Received <br /> Entered By: �/4 a / 4f, �'ermit#: 4.�> y /11) <br /> P' v CITY OF ORONO -`B ING PERMIT APPLICATION <br /> J � f � <br /> �C ,(Y'All information must be submitted in full before plan review will be started. <br /> �Ok r`t (please print all information) <br /> r\ <br /> 1/4 <br /> THE APPLICANT IS: 15- <br /> (circle one) OWNER OR ONTRACT <br /> JOB SITE ADDRESS: J ei c\ 20. ZIP: 5i'',5b <br /> 411,51 <br /> 41 7S1AME OF OWNER: L. . s. o z-1 PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: ; N. cys.tatik KoCITY: ettoiva ZIP: g7 io <br /> CONTRACTOR: 51MPLElt GONNW-Lk_ PHONE:_ (.1i01)4t1 ' ec <br /> CONTACT PERSON: -r Aw5 *ER MOBILE/PAGER: Zb3- -yes Zyi2 <br /> MAILING ADDRESS: 2'130 hw.:aAAR Ave N_CITY: A ZIP: 75y2`1 <br /> STATE LICENSE: # «o+i-►3 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: _ CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Aiteration X. Land Alteration <br /> PROPOSED WORK(describe in detail): ,c;,, tire. o.1cv.n. „ire m <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ,1 L� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ t-90.coo o. <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 /> APPLICANT'S SIGNATURE: DATE: "I t5 I c <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 /> 0 fkAJ f <br /> gam co l'GI 5 A ci /6 //.5—/0 / <br /> V=t,/Lt3 (//1A(1-.s t Rc rr p/tti e c7 Go p(a h4Go i ( ) <br /> � <br /> P2lLnn.1= pu (Lev rcw t s,/�ciert4be— /Z� i" fc 1".0,91 r�3 „a,O ..�.�� <br />