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06/04/90 16:26 ¶HE C1'T'Y OF ORONO 612-473-7357 002 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ Date Reoeiveds <br /> Date Approved: <br /> Entered By: <br /> Permit#: <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> THE APPLICANT IS: (circle one) OWNER orONTRACTOR ' <br /> ZIP: <br /> JOB SITE ADDRESS: � l <br /> (work) <br /> NAME OF OWNER: 41"....&44044( 4 PHONE! (home) <br /> L %' ee- <br /> ZIP s <br /> MAILING AbbRESS: 57 � i ;71( CITY�"/ / <br /> V <br /> CONTRACTOR: _/��� _ - --�- ' PHONE: 3/ 11// <br /> MAILING ADDRESS: Al) `r41� i ��/-„ /� CITY: D�<� _ ZIP: sr 6 <br /> /1 <br /> omiiS: I h, <br /> UCENSE 10002877 <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Demo Remodel/Alteration '{ Renovate Land Alteration_ <br /> PROPOSED WORK (describe in ea44, 6(� <br /> detail) : 1 � / C� <br /> STORIES! / SQ. FEET OF EACH FLOOR: \ <br /> NO. OF BEDROOMS! GARAGE STALLS! ATT. `/( DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $___ZZLZ212L_____ <br /> I hereby apply for a building permit and i acknowledge that the informatio, <br /> above is complete and accurate; that the work will be in conformance withath <br /> ordinances and codes of the City and with the State Building Code; <br /> understand this is not a permit and work is not to start without a permit; an, <br /> that the work will be in accordance with the approved plan. <br /> r- <br /> APPLICANT'S SIGNATURE: ,410K ".40, PATS: <br /> AP1eaee fill. out the reverse side of ''this form) <br />