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Sep-04-2G01 08.18am From-CITY OF ORONO +8522494616 T-753 P.002/002 F-796
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<br /> Total Fee: $ .�-� , , n,�?�i��ive . ' ,
<br /> Enter�d B . ° :
<br /> Y. . _I _ C � �, �v�e #:
<br /> / A Professional Associa[ion
<br /> " C�TX UF �RON� - Bil�L�3�� PERNIIT Ap'PT..�CATION �aoo w��15 Farg�,center
<br /> 90 South Seventh Street
<br /> �1inneapolis,MN 55402-4129
<br /> AYl inf�rmatian� must be submitted in f'ull bePore plan raview will he st�-tedcElepho„e b�z.34�.0300
<br /> �1�84SE�]i�d/7�l'Cl�j x/1,fQ1'])IClllCJt2� Facsimile 612.339.6686
<br /> �v���v.moss-barnett.com
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<br /> TI� A1'PLICANT IS: (cirele ane) .. QWNEI�+E]R C�NTkACTdl2
<br /> JOB SITE ADDRESS: r�` C f l` ,��ij,� V Y;� L,��i't�:: � �k'ZIp: _���`��;,a
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<br /> Nan� oF �w�rER: �� E- �.r� t�t �-1 ,'. ��� ,� c tc��������: �a�e) ��_
<br /> r, �,,.� , � ;�� (Wotl�) l" �" t'Cj�l j_C"�/
<br /> 1V1A17.,i�h1G ADDI2�SS: ,;��� C r' �' y�r-�, E_d. �L;F .' �YTY: �f �r r,�..�,� " Zl�':��
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<br /> CONTRACT�R: _ �U:-��r:� �;i �<.L (;•'i r r1 ( �^� Y PHOIVE..���,0, �� � � �f�"+5�
<br /> G�NTACT PERSQN; �'-1 �� ,M�BTT.�/PAGER:�-,1' - �' i'�� C' "
<br /> �, r t�! ri'�-/.�r fy�w�.�.
<br /> Marr.nvc��an��s: �1 � ����i �n� �- ,� L_�..�4�ci��: r=� � - i;.-. �: -,� ;,��
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<br /> ,�TATE LICEl���: �!
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<br /> ARCHITECT/E�GINEER: � PH�:r1E:
<br /> h2A�.Ilti�AD1�ItES�: - .. CITY: ZIl�:
<br /> NAII�IE: REGISTRATION#� �
<br /> ���V • T'`Y�� OF W�ItK: Ne�cr _�/ Additic�n � Accessory S�ructure
<br /> ``�\ '� Move Remad�UAlte:rataon I.,a�zd Alceration
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<br /> �'lt�l'OSED WORK(describe rn detail}: ���'1' �i`L i - `--�`,k' ��'- � • - �k,� ��'�t'V�
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<br /> ST4RIES: SQ. FEET QF EAC�T�''LUUIx:
<br /> l�'a. OF B +�R��MS: GAR.A[rE STA.�.,LS; ATT. DET.
<br /> E,�TIMATED COh'STRUCTION VALUATI()N (eacludi.�g�and): $ `� �� /f ,�,7� '�'���
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<br /> I hereby apply for a building permit and I acknowiedge that the inforniation ahQve is c4m�let� and
<br /> aceurate; th�t the VVoxk will b2 ui GOtifpz'rtlai]Ce With ihe ordinances and codes of the City and WiLh
<br /> the State $ui�cling Code; that I t�nderstand this is not a permit and work is not to start without a
<br /> permit; and that the work will be in accordance: wit� the appro�v�d plan.
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<br /> A�"�T.YCAl`'r''S SIGIVATiJRE: �"��%�'�`'�,1. �`�''''�� DA�TE: � � � (
<br /> NQ7'�! 1�arad� ef Ilc�mes ev�nts t�eqt�tre separate permit approval by Police Departmertt and'
<br /> Ciry Council 60 days prior to fhe event. Non permitt�d even#s wii�'�t¢#he �tllow�d,
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