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_ � <br /> ,,`�'��Total Fee: $ �` �� O� Date Received: ��c � �� <br /> �1� Entered By: �� Permit#: �=� / �o / o� <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 /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: y� S��e� L� - D�oN� MN. ZIP: S'S3S� <br /> NAME OF OWNER: M i K� f' [/A w� e�r; so,v PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: y�ic� 5�-,sc� C,�.- CITY: �,�o.�..;, „�,� ZIP• � p-s3s-� <br /> ,'.k • <br /> ��iy , CONTRACTOR: /a„�,� �r+/�� �.s�,.�_(`'�.e��n T..�c� PHONE: 7G j�Gf� - yz yG <br /> �?�'` CONTACT PERSON: ���;;,,.,�� MOBILE/PAGER: 7G� - z�G.�- 3 3 3'`/ <br /> MAILING ADDRESS: 30 �1� C�lbr;�- �4��.N��,. CITY: /3,,�,��/� .�uJ ZIP: S�3 i3 <br /> STATE LICENSE: # Z�� 32�;3� <br /> ARCHITECT/ENGINEER: /L1 PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: NPw Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: ,Z y)C Z.y + �cf��./A 5�����4.,�c <br /> STORIES: /�-�� SQ. FEET OF EACH FLOOR: � <br /> NO. OF BEDROOMS: � GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /�, _S4L�. `✓ <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 Building Code; that I understand this is not a permit and 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 SIGNATURE: �^ DATE: � �Z <br /> NOTE! Parade o�Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 5 <br />