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� Total Fee: S ����I DateReceived: <br /> Date Approved: <br /> Entered B�-: ;.. Permit�: �(�-�k <br /> CITY F ORONO - BUILDING PERiVIIT APPLIC�TION <br /> :�LL L�tFOR1vI�TION I��UST BE SUBv1TT'1'ED L�t FULL BEFORE PL��1 REVIE`�'`VII.L <br /> BE ST:�RTED <br /> --------------------- .. <br /> THE �PPLIC�:�T IS: (circle onej OW�EK R CONTRACTOR <br /> JOB SITE �DDRESS: <br /> . � ZIP: . ^ � �q � <br /> ��C�—./1.�,�� <br /> ��G-,F f�����pHONE: (home) �- C — �� <br /> ��ti1E OF O�VVER�1-«,_� -i (work) <br /> �I�ILL�G:�DDRESS: ��/1/l_�--� ��—��� /'�'� �: <br /> CONTRACTOR: ��L—� PHONE: � <br /> , pBILE PHONE/PAGER: <br /> v1AILING ADDRESS: CITY: Z�� <br /> ST:�TE LICENSE: # <br /> :�RC�IITECT/ENGINEER: PHO�tE: �� <br /> �I�II,I�'G�DDRE.SS: CITY: Z <br /> `���. REGISTTtATION � <br /> TYPE OF WORK: New `� Addition �ccessory Structure <br /> �1ove Remodel/Alteration L.ar�Alt�ration <br /> PROPOSED�VORK(describe indecail): <br /> I I <br /> STORIES: � <br /> SQ. FEET OF EACH FLOOR: � x � � <br /> v0. UF BEDROOvIS: G�R�GE STAI.LS: ATT. DET. <br /> �STLII_-�TED CONSTRUCTION VALL'ATION(eYcluding land): S ����-- <br /> I herebv appl`� for a buildina permit and I acknowledae that the information above is complete <br /> and accura�e; that the work ��vill be in conformance with the ordinances and codes of the City <br /> and with the State Buildin� Code that I understand � �s not a permit and work is not to start <br /> �vithout a permit; and that t rk will be i rdanc with the approved plan. / <br /> �'T'S SIG�A : � � � <br /> :�PPLIC� <br /> �VOTE! Parade �Homes events require �pnrat���teaent�willbn�becal�ed ent and <br /> City Council 60 days pnor to the event p <br />