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Jul-16.2001 11:49am From-CITY OF ORONO +9522494616 T-436 P.001/002 F-9T0 <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> • <br /> CITY OF ORONO - BUM:O NG PERMIT APPLICATION =j <br /> All information must be submitted in full before plan review will be started. " 2 5 2L1 <br /> (please print all information) <br /> TEE APPLICANT IS: (circle one) OWNER O .CONTRACTOR <br /> JOB SITE ADDRESS: 900 Old c ZIP: 5S3 °I <br /> NAME OF OW? ER:Th ru 1� �.r PHONE: (home) S a -4-1-7 Co._Oa <br /> (work) <br /> i iAILL)NG ADDRESS: q (Q 5 01.41 . _CITY: O fc- o ZIP: ;S39/ <br /> • <br /> (�- ) <br /> CONTRACTOR: '),_,)25 PHONE: 9 $g l - / <br /> CONTACT PERSON: &-a)3-e_ 1, ._e_ MOBILE/PAGER: j,[a - 3 <br /> MAILING ADDRESS:T-1/2 I W . (6(44- St CITY:-6,2ovn 1-o). ": SS-4 aD <br /> STATE LICENSE: # Co Ce O <br /> ARCHITECT/ENGINEER: -11 La- , . PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move • Remodel/Alteration ---- Land Alteration <br /> PROPOSED WORK(describe in detail); - . - - o o-E — ' -e-ace. o-Cf- . ;3+; <br /> r d0 C--N/ . 'b. .- --x_w- <br /> .qtr cwt S . <br /> STORIES: b SQ.J ET OF EACH FLOOR: <br /> NO. OF BEDROOMS:• GARAGE STALLS: ATT: • DET. . •- -. . _ • <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 13>p ,Oa - <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 accordanc ' • the approved plan. <br /> r / 1110 <br /> APPLICANT'S SIGNATURE- ANI • - ! DATE: r7 — l g —U I <br /> NOTE! Parade of Homes events require separate permit approval by Police Depqrtment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />