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Total Fee: $ Date Received: <br /> ' Entered By: Permit#: <br /> CITY OF ORONO - BUII.,DING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> � (please print all information) . <br /> TH� APPLICANT IS: (cirele one) OWNER ONTRA � <br /> JO&SITE ADDRESS: (3 3�p � t5� �o i✓►+ C'i rC �� Z�: SS 36�f <br /> NAME OF OWNER: �C�v1 D�z ma�+t o PHO�IE: (home)�I�",�- �l 7.�- S3�O <br /> (work) <br /> 1�IA,II,Ivi G ADDRESS: �33� , �.c5f �a�'h� �'i�IrCTTY: O YOn O ZIP: 5S3 6� <br /> 9ELA ROOFING&REMODELING,INC. � <br /> CONTRACTOR: ' 4i�00 EXCELSIOft BLVD. PHO�TE: �o I/�' �i ,�'�ot/!o <br /> COv'TACT P�RSON: ST• s P�,MN 5��1BILE/PAGER: <br /> MAII.,ING ADARESS: CTI'Y: ZIP= <br /> STATE LICENSE: # 1 bS� <br /> ARCHITECT/ENG iNEER: PHO\'E: <br /> iViATL'Pi TG ADDRESS• CITY: ZIP: <br /> r,•��; REGISZ'RATION# • <br /> TYPE OF `VORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED ti'VORK(describe in detai�: �rc,ro� K rcro�+� �aUS e � <br /> STORIES: SQi FEET OF EACH FLOOR: <br /> NO. OF BEDROO`ZS:� GARAGE STALLS: ATT: � DET. � �- �- -_�-•�. .-, <br /> p <br /> ESTNi IATED COti'STRUCTI0�1 VALUATIO\ (excluding land): � ��O�s v <br /> I hereby apply for a buildin�pernait and I acknowled;e 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 Buildin� Code; that I ui�derstand this is not a permit and work is not to start without a <br /> permit; and that the work will b� in acc rdanc th the approved plan. <br /> A.PPLICANT'S SIGNATiTRE:'I � - DATE: S—L'a � <br /> 1�'OTE! �arade of Homes even�s require separate permit approval by Police Dep�rtment and <br /> City Council 60 days prior to th�e event. Non permitted events will not be allowed. <br />