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AUG-23-01 THU 12;39 PM AMERICAN EXPRESS FAX NO. 612 671 0618 P, 02 <br /> Aum-22-2001 03:14pm From-CITY OF ORONO +0622404018 T-602 P.002/002 F-804 <br /> Total Fee: $ Q '9() Gate Received: /2 <br /> Entered r2 k et it ' //C /o 9- <br /> CITY OF ORONO - B !01► G PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: <br /> v i ll ZIP: 5.515-4 <br /> .,�� � .•�. �, �• <br /> 3 itgo 1.152.7 <br /> NAME OF OWNER: ;i 9j-Sy . PIIUNk:: (home) <br /> (world 101 <br /> MAILING ADDRESS: Sa-t s ;d 4114.._CITY: MidiJ t . ,ZIP: OTT 1 I <br /> CONTRACTOR: Ova l•e s.. 4-11.tc,, PHONE: 'li 6�-414 -9-6 12 <br /> CONTACT PERSON: t vvht't ' ► MOBILE/PAGER: <br /> 1VMMLING ADDRESS: 5/ y , I CITY:�IAOIATG ._ZIP: 5 S SSA, <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: : I-0.p-—11v-7. <br /> MAILING ADDRESS: 'U/ i _"g CITY: ZIP:, p1)3 <br /> NAME:J 1 REGISTRATION# ¢'d-___ <br /> TYPE OF WORK: New- Addition Accessory Structure- <br /> Move RemodellAlteradon Land Alteration <br /> PROPOSED WORK(describe in detail):_C.o r_&yr, r- I I yr wAc, <br /> STORIES: _ SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <br /> I hereby apply for a building permit and I acknowledge that the informadon 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 SIGNATUREZ//4V� IITa4rit: <br /> NOTE; Parade of Homes events regtdre separate permit approval by Police Depardnent and <br /> • City Council 60 days prior to the event_ Non permitted events will not be allowed. <br />