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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ 1' '-f 5 Date Received: 1/". 3 - oZ <br /> Date Approved: <br /> Entered By: • <br /> Permit#: <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER or CON $' <br /> JOB SITE ADDRESS: q S w�-s L<2 ,, ( poi ZIP: <br /> (work) <br /> NAME OF OWNER: �c��, �z� • PHONE: (home) <br /> MAILING ADDRESS: 4-1S-c L.)-(„1--- CITY: ZIP: <br /> CONTRACTOR: S 11 l .--L .., ,w PHONE: '7j-3 3; 1 <br /> MAILING ADDRESS: 2. 1 i v C',1q y5 L..',Z CITY: ice., �� ZIP: 3 3 <br /> STATE LICENSE: # GC. IL's <br /> ARCHITECT/ENGINEER: -- PHONE: <br /> NAILING ADDRESS: CITY: P: <br /> NAME: REGISTRATI <br /> TYPE OF WORK: New Addition V Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : 3 S .,„ )( It I <br /> STORIES: ( SQ. FEET OF EACH FLOOR: 2 Z_ `� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ / y � ,� C <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 /> APPLICANT'S SIGNATURE: DATE: yIZ1 r!2 . <br />