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12/22/94 16:27 THE CITY OF ORONO 612-473-7357 002 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> l \ <br /> Total Fee: $ <br /> 1=�-J Date Received: fl-20-01 <br /> n )% Date Approved; <br /> Entered By: <br /> Permit# <br /> ALL INFORMATION MUST BE SUBMITTED IN F= BEFORE PLAN REV=EW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------- ----------------------------- <br /> THE APPLICANT IS: (circle one) O�PNER or CONTRACTOR <br /> Job SITE ADDRESS: 3/S o,�1Kr�t,JA /fes ZIP: 5535!0 <br /> (work) <br /> NAME OF OWNER: ��K gN�� / PHONE: (home) <br /> MAILING ADDRESS: l�/S o4w4j# �D4O CITY: ©�PaJO ZIP: Ss � <br /> CONTRACTORS --4Q � /21 `�� PHONE: <br /> MAILING ADDRESS: Ile0l L� eKr., Y, / _ CITY: /6�0444' ZIP: <br /> STATE LICENSE; # ./ <br /> ARCHITECT/ENGINEER: ._.44E PHONE: 95���7.5�578 <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition // Accessory Structure Move <br /> Demo Remodel/Altexation Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : 6,KVZ Vr 0X 'I Ac OXIWAYj �F�K <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS_ ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding laud) : $ �90� <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be in accordance with the approved plan. <br /> DATES <br /> APPLICANT'S SIGNATURE: <br />