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CITY OF ORONO 6124730510 10/18/96 14:43 :02/93 N0:869 <br /> Total Fee: $ /41' 17 Date Received: <br /> Entered By: P, Permit#: _ 62S,2 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> MI information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: _ 2x) Ow BA`s- (2-P ZIP: SS 3 <br /> NAME OF OWNER: _ c-kE p-CC 6 (L) T-. PHONE: (home) Li i S c <br /> -2 }S1-I <br /> (work) 3 _! `t 3 6. o <br /> MAILING ADDRESS: V e CITY: -4 c� ZIP: __S-Y7.> <br /> CONTRACTOR: ' 'w t->0 � �' �S PHONE: . )(e-s S5 L� <br /> CONTACT PERSON:j µms, s,r-1 MOBILE/PAGER: ce-t c't 2`t <br /> MAILING ADDRESS: t 2 `-f H z 7'67"we-_rte) CITY: 21 vnrvkr:- v ZIP: <br /> STATE LICENSE: # 7v — 1 o <br /> ARCIUTECT/EN GINEER: / 1z- =E i+t e— PHONE: Z`�G -2_ LI <br /> MAILING ADDRESS: S"3 EA `1 r":s r9:9 CITY: S1 . PAL.t__ZIP: , ILL <br /> NAME: w n-0 c �c REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/AlterationLand Alteration <br /> PROPOSED WORK(describe in detail): ClEvIAL.DvE F "Up troc=v-- c <br /> ruz_ - t . 7-7:712 L11, 4S C-i 1. <br /> STORIES: SQ.FEET OF EACH FLOOR: _ <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 1 Scv <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. - <br /> / <br /> APPLICANT'S SIGNATURE: 4��% I -;, <br /> DATE: LL22-1`l 1 <br /> NOTE/ Parade of HDmes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />