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� <br /> i Total Fee: $ ' � ` � Date Received: <br /> Entered By: �,�� Permit#: �/`.h��� ' <br /> CITY OF ORONO - BUILDING PERNIIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> • ---------------------------------------------------------------------------------------------------------------------- <br /> _. <br /> THE APPLICANT IS: (circle one) OWNEI�OR CONTRACTOR <br /> . <br /> JOB SITE ADDRESS: ��al. � �.�4����Z��S � � G� ZIP: <br /> NAME OF OWNER: �.2 [��G �� {� �. S f�-C PHONE: (home) �7 l — �7`� �'t' <br /> (work) �'�..�"— �C��6 <br /> MAILING ADDRESS: �'�4 (it�L CITY: ZIP: <br /> CONTRACTOR: �� C�, /-� 7' �� A`/ �C>��l,�-�G PHONE: SS'7 - ��c•7� <br /> CONTACT PERSON: MOBILE/P�GER: <br /> MAILING ADDRESS: /(c�7s -�S � ,14 � � CITY: � °u e�`'t't-F ZIP: <br /> STATE LICENSE: # �, � �; <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> ��d� � � <br /> PROPOSED WORK(describe in detai�: � �-`Czp �1 �= �-PG� - <br /> STORIES: � ��t- SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �3�� �'- ��' <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 Ciry 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 rdan wi the approved plan. <br /> i <br /> � i � ! <br /> APPLICANT'S SIGNAT , - �� �.� DATE: ( e� �.0 <br /> NOTE! Parade Qf Homes 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 />