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' ' Total Fee: $ / � Date Received: J ��� - y <br /> Entered By: , � � Permit#: // 3%� � � <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 /> THE APPLICAI�'T IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SIT'E ADDRESS: �1� ����rc� � ,. ZIP= <br /> NA1�IE OF OWI`�R: � PIiONE: (home) <br /> b ��,�rs �-�r�-r (work) CPcz- 33 7 _ ��,88 <br /> �iAILPi tG ADDP.ESS: �oo S. ���-�r+ -�s�. CITY: ZIP:� <br /> �n� 25a� <br /> CONI'RACTOR: }�"Gor-1, �,-IL-. PHONE: �o(z-�S�co-/8�0 <br /> CONTACT PERSON: MOBILE/PAGER: C�o-334 I �iZ <br /> MAILI\i'G ADDRESS• 111 f c,�-r��� ,J CITY: , ZIP: ��53►� <br /> STATE LICE�tSE: # z.oi cP��3'� <br /> ARCHITECT/EI�TGItii'EER: / PHO�TE: <br /> �ZAIII�ING ADDRESS: j CITY: ZIP: <br /> N�,�; / REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure � <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: �_�`-�,—��- �r�tR-� �`-�� �--�-��� <br /> �� � ��� � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GAR.AGE STALLS: ATT. DET. <br /> � <br /> ESTI�i IATED CONSTRUCTION VALUATION (excluding land): $ 2-��� � <br /> I hereby apply for a building pernut 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 Buildin' Code; that I understand this is not a pernut and work is not to start without a <br /> pernut; and that the work will be in accordance ith the approved plan. <br /> APPLICAi\�'T'S SIGNATURE: � .-�;��ATE: � �o <br /> NOTE! Parade o�Ho�nes events require separate permit approval by Police Department and <br /> City Counci160 days prior to the event. Non permitted events wi11 not be allowed. <br />