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Total Fee: �a , �c Date Received: �-,jU' �3 <br /> Entered By: � Permic�: �'G'(�(X.>� <br /> CITY OF ORONO - BU�,DING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> � (please print al1 information) <br /> THE APPLICANT IS: (circle one) OWNER OR�ONTRACTOR ; <br /> .,, � . ... F1 ...�... . _ . <br /> JOB SITE ADDRESS: � J f�'` � �� �'" -�`� ;"\C� � ZIP: `- � ( <br /> _ �� <br /> NAME OF O`'�NER ��-��� -��. ���f�•- `,_-� ,'���^t� PHONE: (home) `7�--�_��'�/4� �� <br /> � �-�; - ' , � <br /> " (work) <br /> l�IAILPi 1G ADDRESS: . CITY: ZIP: <br /> CONTRACTOR• `E�'ROOFING&REMODELING,ING P�O��•�, ; ` , 1 :-_ , ,L`), j <br /> �'^Ipoanc��,���R RT Vn ' <br /> COi�t'I'ACT PERSON: .�m �,ntTT�pAR, •MN 5541t� 1IOBILE/P:�GER: <br /> MAII�ING ADDRESS: �D#000105�� CTTY: =�' �� � ;,`��g': `r� <br /> —�=-�--_=' , <br /> STATE LICENSE: #_T/�� ���: <br /> ARCHITECT/ENGI�i TEER: PHO\rE: <br /> NIA.IL�,'G ADDRESS: CITY: Z�: <br /> �T�y�; REGISTR.ATIO�T# � <br /> TYPE OF tiVORK: New Addition Accessory Structure <br /> Nlove Remodel/Alteration Land Alteration <br /> �.. <br /> PROPOSED tiVORK(describe in detai�: S �e� C"~ t f ;r <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. � DET. � - = � -- .- -, <br /> ESTII�i IATED CO`'STRUCTION VALUATIO\ (excluding land): S � `"�'`�:' `��� �.����� <br /> , <br /> I hereby apply for a buildin�pernut and I acknowled�e that the 'li:`ormation above is complete and <br /> accurate; that the work will be in conformance with the ordina�ces and codes of the City and with <br /> the State Buildin� Code; that I understand this is not a permit 2nd work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> � , ; �� <br /> APPLICANT'S SIGNAT'URE: ` :.�---�-? DAT°E: 1 � (� - ;� <br /> NOTE! Parade o Homes events require separate permit approval by Police Department and <br /> City Couneil 60 days prior to the event. Non permitted events will not be allowed. <br />