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♦ ; <br /> Total Fee: $ �-�`,'1 5 � Dace Receive • %U�-�j_ �3 <br /> Entered By: Peraut#: > '�� <br /> , � (/� <br /> CITY OF ORONO - BUILDING PERMIT APPLIC.ATION <br /> A.11 informatiou uiust be subuiitted 'ui full before plau revie�v will be started. <br /> (please pri�1t all irforntation) <br /> -------------------- <br /> THE A.PPLICANT IS: (circle4one) OWNER p�Z CONTRACTOR <br /> � > <br /> JOB SITE ADDRESS: 9� �-��c}� �� Q �;.� I-�,�I ZLP: Sj 3 S �' <br /> — —�- � <br /> NAME OF OWIVER: J;,,�,,, -t� S v �c��„ J� ,- '� PHOivE: (home) <br /> (�vork) G !2. -��E - S�s_i <br /> I�IAT_LL�1G��D�tESS: . CITY: 7II': <br /> CONTRA.CTOR: " SELA i�00FING & REMODELING, INC p����; (j 1 Z ��Z 3- v <br /> � `16 <br /> COivTACT P�RSON: cT i (1UIS PARK,� � � ��OBILE/PAGER: G ► �_ - z ��- -���z.�� <br /> MA.II�ING ADDRESS: ID�0�05o CIfiX: ZIP: <br /> STATE LICENSE: # <br /> ARC�IIT'ECT/ENGL'VEERS��ROO & REMODELING. IN p�����. <br /> 11�I�,ILI�i 1G ADDRESS: ST. LOUIS PAR N 5 �'Y'� Z�: <br /> N�1�E: � ID�t000105 ZEGISTRA.TION# � <br /> TYPE OF ti�'ORK: Ne�v _ ition Accessory Structure <br /> Move ReFrrodeUAlteration Land Alteration <br /> PROPOSED tiVORK (describe iit detain: T Q�,,, �i � � r,��,,, .;:�'-� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: G�tAGE STALLS: ATT�. � DET. � - .- . ... ._ <br /> ESTI1l�IATED CO�'STRUCTION VALUATIO\ (excluding land): ��`��\ 5� <br /> T <br /> I hereby apply for a buildin� pecmit and I acknowled�e that the information above is complete and <br /> accurate; that the work tvill be in conformance �vith the ord'u�ances and codes of the City and with <br /> the State Buildin� Code; that I understand this is not a permi[ and work is not to start without a <br /> permi[; and that the work will be in accordance wich the approved plan. <br /> A.PPLICANT'S SIGNATURE: C-, �, DATE: �`' ' � -��3 <br /> � <br /> �� , _ - <br /> 11�'OTE! ,t'arade o Home� events require separate permit c�pproval by Police Depgrtment and <br /> City Council 60 days prior lo the event. Non permitted events tivill not be allowed. <br />