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� R <br /> Total Fee: $_ �3('�, � � Date Received: �-� Y—U3 <br /> Entered By: �� Pernut#: •�'p�,,Z Z �y <br /> CITY OF ORONO - I3UILDING PEIZMIT APPLICATION <br /> All information uiust be submitted iii full before plan review �vill be started. <br /> (please print all tnforrrtation) <br /> ------------------------------------------------------------ . <br /> ---------�--� ---------------------- <br /> T�� A.PPLICANT IS: (circle one) OWNER OR ONT <br /> JOB SITE ADDRESS: , �'� I�C�-Z�: <br /> NA.ME OF Oti�NER: ��-�--F L S S e � Pxo�: (home)�1.5-�-'��/- a�d' � <br /> (work) <br /> 1�IAII,L�1G�DDRESS: . CITY: ZIP: <br /> SELA ROOFING&REMODELING,INC. <br /> CONTR.A.CTOR: � 410o Ex . 1��n RT�m PHONE: (,�/� -�,�;�- � � y ( <br /> C0�1'TACT PERSON: ST.LOUIS PAR,K,IVIN 5541h IIOBILE/PAGER: <br /> MAIIfING A.DDRF,SS: ID#000105(� C�r; Zjp: <br /> STATE LICENSE: # j� �-j�� <br /> ARCHI'T�CT/ENGI��ER: P�IO\TE: <br /> IYIAILL�(G ADDRI;SS: CITY: ZIP: <br /> �'�'�� � REGISTRATION# <br /> TXPE OF ��'ORK: Ne�v Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED tiVORK (describe in detai�: _ �`��� ��.�rra�.; -� 1���;�' <br /> ��_,I 1 �n r �1 c�� �!G✓'C.�7 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF B�DKOOMS: GARAGE STALLS: ATT. � DET. � _ . . ... <br /> ESTIIVIATED CO�'STRUCTION VALUAT�O\ (exclucliug laud): � � o� , yL/ � <br /> I hereby apply for a buildiug pern�it and I acknowled�e that the information above is complete and <br /> accurate; that the work �vill be in conformance �vi�h the ordinances and codes of t�ie City and with <br /> the State Build'ui� Code; that I understan�i 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 /> APPLICA.NT'S SIGNATLTRE: �------_ DATE: �" ( _� ; ,_ � _ <br /> h'OTE! ,Parade Q Homes events require separate permit c�pproval by Police Depgrhnent and <br /> City Council 60 days prior to the event. Non permitted events tivill �tot be allowed. <br />