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10/12/01 08:28 FAX WELLINGTON WINDOW Q001 <br /> Total Fee: $ Date Received: / 0-1 ^01 <br /> Entered By: 614A Permit#: Pot(s--G <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 information) <br /> THE APPLICANT IS: (circle one) WNOR CONTRACTOR <br /> JOB SITE ADDRESS: 5 00 ordqkra pay k rZoa d ZIP: SS B510 <br /> NAME OF OWNER:1 hor 'Ops F MA wt s PHONE: (home)q'a-416 0373 <br /> (work) 95Z-93 --z'737 Ei 3o <br /> MAILING ADDRESS: 500 OrchG Pyrk I2Cf.. CITY: L010‘.5 tAlce ZIP: SS' S'(c <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCLUTECT/ENGINEER: 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): �X+e VIS; 11 o0.3.- d <br /> 0Y i Q WW1 t IO- ' • E h <br /> d4 approx. 3501 0 in I eve�+�, ! -prod- deep asira.v el <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,t the info tion above is complete and <br /> accurate; that the work will be in conformance withihe e's of the Citirland with <br /> ilie;:S.latc`$uildL3 Code;;tha I'understand this;i.rpot a permit and world.i o to,start without a <br /> permit; and that the work will be in accordance with the approved plan. ' ' - J., '! <br /> APPLICANT'S SIGNATURE: 7'•A4O1)i-vDATE: 14)f I LI zoo( <br /> G W <br /> NOTE! Parade of Homes events require separate periniliapproi�tztby PoliJet 'epai*ment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />