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s � <br /> _ ; . <br /> CITY OF ORONO - BUILDING PSRMIT APPLICATION ' <br /> Total Fee : $ �� �� �'�� � � ! _ Date Received: <br /> Date Approved: <br />�tered By: ,��':-+�� �� �� ! <br /> Permit�: <br /> AT.T. INFORMATION MIIST BE SIIBMITTED IN FLTLL BEFORE PLAN REVZ�F1 i�7ILL BS STARTED <br /> (See Check-off List Enclosed)� <br /> ------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER or ONTRACTO C�NSi12vGT1�►a �G2 <br /> JOB S ITE ADDRRSS: 2�v5� �w N H��-L- R-OR� Z IP: <br /> (work) y73-13� <br /> NAHE �F �WNg.R: C�'�"� CSF' CXLO N.O PHONE: (home) <br /> MAILING AnD�ss• 'P,O. C3oX Co(o cz�: C2y��� �3�Y zIP: 55'323 <br /> COc�IS�. MG R '72�` <br /> CONTRACTOR: �C 21Vs �����-SOI�, Cf�(.ST PHONE: �j3Z.' <br /> MAILING ADDRESS: r`JZS S• a� S'�' CITY: MPLS Z ZP: 55`�dy <br />�PE OF WORK: New X Addition Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : C-�K SMv� �'`"� ���',C ���S <br /> (�1.�l,�t�c� <br /> STORIES: Z SQ. FEET OF EACH FLOOR: 2S �2.P� '{" `1�10 <br /> NO. OF B$DROOMS: -�- GARAGE STALLS: ATT. DET. . <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ � � �s g� � <br /> ',SO� ' N� O C7 FOOTINS q�O FOJ/`���T <br /> I hereby apply for a building permit and I acknowledg� �hat' t�ie� information <br /> above is complete and accurate; that the work will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be in accordance with the approved plan. <br /> APPI�ICANT'S SIGNAT'DRE: ;�,�'w�`� s DATE: 3'Z3-�12 <br /> �� <br /> � <br />