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Jun 12 O1 09: 20a Jim or Rhonda Steffes 763-786-8125 p. 2 <br /> . � <br /> I�hy-li-'OGI 10:50�m Fro�-CI?Y OF ORONO �0522404616 T-011 P OOilOOt FOOA <br /> � <br /> ' rocal Fee: $ ��,3� o( <br /> � l D$te�ieceived: �- /�- <br /> � � Entered ay: Permit�: -- .�°3 ti 9 , <br /> '� CIT'Y OF QRONO •B�JIIIDING PERMIT Al'PLICATYON <br /> � /�� <br /> .�/��, All inPormation must be suhmttted fin full before plan revlew wi11 be started. <br /> � . (please print all�nformation� , <br /> THE APY'LYCANT IS: (circle one) OWNER 0 ONTRA ���� <br /> JOB SITE ADDRESS: � D Z � ZTp; �!S,3� <br /> NAME 4F O'V�ivER:trra�4�'��-r;�a �ndregse� fxorrE: (lwme) 9SZ-�7(o-D�/7 <br /> � (wor� <br /> MA.ILINGADDRESS: I�OZ�akevie��t.�� C]t't�t':�jrona ZIP: SS S;� <br /> _--___._ <br /> coiv�rx�cro�: hoocvs � i� �I� PAor�: _263-��(�-�'/%S <br /> COr1TACTPERSON: honda MOBIIGIE�'�$�R: blZ-3L(p-5G S <br /> MA�.Il�iG ADDRESS: '792 F� n i V � ,c/� CI1'Y: �irrd�,�,, �: <br /> STATE LICENSE: ��3C3-•Z9�S��'�br" �--�— <br /> ARCHIT�CY'/ENG►Il�TEEYt: PHO�: <br /> MAILII�IG ADDRFSS: CITY: 7.YP: <br /> N.�M�: REGYSTRATION�1 • <br /> TYPL OF WORK: New Addition Aaessory Swccure <br /> Move Remodel/Alreracion Land Aiteration <br /> PROPOSED WORK(describe iR detai�: �� ✓��n y� �e y�roti� w�r�o�e v1 <br /> ra�laee�w�e.,+ � <br /> STOR�S: SQ.FEET OF EACH FLOOR: • <br /> NO. OF BEDROOMS: � ' GA.RAGE STALY,S: �A7T: � D��.. �•►-• � :. . � � � . � � <br /> ESTYIIRATED CONSTRUCTION'VA,LUATION(excluding land�: S_ �o �Q'�� D — <br /> I hereby apply for a buiIding pec7nit and I aclaiowlcdgc that thc iaformation above fs completc aad <br /> accurate; tbat the work will be in conformaace w�th the ordinances ead codes of the Ciry sad with <br /> �he Scace Building Code; cbac I understand this is aoc a permic aad work is Aoc to atazt without a <br /> permic; snd that tbe work will be ia accvrdaace with tbe appmved plaa. . <br /> APPLICANT'S SIGNATURE: DATE: � � <br /> NOTE! P,arnd�e�Remes eys�tts require separate permit approval by Police l�epa�tment and <br /> ' City Counci160 days prlor to the evertt. Non perm�tted events will not be Qllowed. <br />