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fr CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Received: <br /> Date Approved: <br /> Entered By: Permit#: (p`o•Z9 <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> ----------------- <br /> -------- <br /> THE APPLICANT IS: (circle one) <br /> /r OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: o�s/gq0 W,4TEA-Tbwr-� ZIP: ,SS3S� <br /> (work) <br /> NAME OF OWNER: Y0_6 �V� SS PHONE: (home) 73-56` 8 <br /> MAILING ADDRESS: �JIO (�t/�9`T `Saws -(�`p CITY: 6-e rJ0 ZIP: <br /> CONTRACTOR: PHONE: <br /> MAILING ADDRESS: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: _ <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION n <br /> r_�RC; <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : ���� � � / �tl�L� 1n04� �g00 <br /> SO, . el Dri' XIST>N6 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> 06 <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 330D <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 acco nc wi,. t pproved plan. <br /> APPLICANTI S SIGNATURE: DATE: <br />