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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ `�/„� . `IJ� Date Received: <br /> Date Approved: <br /> Entered By: Permit#: <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: .4*0 G A*— �y� l_q�� ZIP: <br /> (work) <br /> NAME OF OWNER: .��Wi�t�}� � N PHONE: (home) <br /> MAILING ADDRESS: CITY. Vr ZI : <br /> d5o W1L,bHc�7T' f�. �I� • 55111 <br /> CONTRACTOR: S S PHONE: <br /> MAILING ADDRESS: �xz-- <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: JAt-� RO$(►`l PHONE: +?4-341`+0 <br /> MAILING ADDRESS: 2.*+Lo t 51 • CITY: 44y,' 44,t)IL, ZIP: 55331 <br /> NAME: REGISTRATION # tAK 4t-I207 <br /> TYPE OF WORK: New ` Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : G.WIAMIWS, VIM,- <br /> I" <br /> IM,- <br /> .. TORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 2A-1coo <br /> 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 acor with the approved plan. lvffq�., <br /> -- <br /> APPLICANT'S SIGNATURE: t^ DATE: hdoolme <br /> _ <br /> I <br />