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, � <br /> Total Fee: $ Date Received: <br /> Eritered By: Permit�: <br /> CITY 4F ORONO - BUILDING PERNIIT A.PPLICATION <br /> All information must be submitted in full before plan re�iew will be started. <br /> ' (please print all information) <br /> THE A,PPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: Z�� <br /> NAME OF OWNER: PHOYE: (home) <br /> (work) <br /> I�IAILI�i tG ADDRESS: . CITY: ZIP: <br /> CONTRACTOR: ' PHONE: <br /> CON'I`ACT PERSON: ZIOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/EI�'GPi IEER: PHO\rE: <br /> 1VIA,IL�YG A.DDRESS: CITY: ZII': <br /> N��: REGISTRATIOiv# ' <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED`VORK(describe in detai�: <br /> STORIES: SQ. FEET OF EACH k'I.00R: <br /> I�TO. OF B�DROOl7S: GARAGE STALLS: ATT. � DET. � - = � -� <br /> ESTII�i IATED CONSTRUCTION VALUATIO\ (exclud.ing land): S <br /> I hereby apply for a buildin� pernut and I acknowled�e that the information above is complete and <br /> accurate; that the work will be in conformance wich the ordinances and codes of the Ciry and with <br /> the State Buildin� 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 /> APPLICANT'S SIGNATURE: D`��� <br /> 1�'OTE! Parade of Homes events require separate permit approval by Police Department atad <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />