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Apr-04-2005 01:5Tpm�,�4 om-CITY OF ORONO �- ,i +9522494616 T-7?J F1001/002 F-018 <br /> 4rG\ Lilt 6113/G� <br /> /D 370. 69 0, c%\ �1 <br /> Total Fee: S , (Q` ,�i , Date Received: 0 g'S 7‘.( <br /> Entered By: it(--- C1.)0' Permit#: __. y l s/o <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> .%)cm ui:62....myz...cilaittra2ZMI:fornsfKii7). <br /> THE APPLICANT IS: (circle one) <br /> OWNER ORONTRACTOR <br /> JOB SITE ADDRESS: (t5 cW L/ Q fikEEXCAl0 ZIP: r.4/ <br /> . <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> Yes ❑ No If yes, a special event permit is required with Police Department and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: 44S4cz, \ArCQUE PHONE: (home) ' 47/.o45O <br /> (work) (o(2 -S54 • S97_41 <br /> MAILING ADDRESS: 296S Du) b - CITY: O'e t0 ZIP: l <br /> CONTRACTOR: � N6 GU 4 vt tt 1A�(,r PHONE: 157-744.7 999 <br /> CONTACT PERSON:, AGK - ' MOBILE/PAGER: G/ ,?. 240. <br /> MAILING ADDRESS: I IIQI WA • • = 4 .* ,2 CITY: �Z4?4k- ZIP: '5 3)I <br /> STATE LICENSE: # 45z <br /> ARCHITECT/ENGINEER: PHONE: 011•125).Z <br /> MAILING ADDRESS: 4 CITY: QVl P(!- ZIP: P.dc 10 <br /> NAME: VAI( (187P i-rg l '['' • REGISTRATION# <br /> TYPE OF WORK: New /\ Accessory Structure <br /> Addition Move <br /> Remodel/Alteration Laud Alteration / <br /> PROPOSED WORK(describe in detail): lc ?(L(r& jJJ'fr\O Mya4 �, ^ ' <br /> STORIES: 2 SQ. FEET OF EACH FLOOR: N " 1q2511 V�L�%(Iq$ (� Q <br /> NO.OF BEDROOMS: 4 GARAGE STALLS: ATT. 3 DET. <br /> -1 �1 <br /> ` <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 04 C c "\ <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code;that I <br /> understand this is not a permit and work is not to st. ,f ,ut a permit;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE. tri%� <br /> DATE: 4. 4.675 <br />