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� <br /> � . , <br /> t . , ., �_� � �- �.>--� . <br /> Total Fee: $ Date Received: ��--%/- �;/ <br /> � Permit#: .� ` �{�{?�' <br /> Entered By: =�._. <br /> .� <br /> � � r' <br /> � e_f� � . �� y'•_� ���� : <br /> � CITY OF oRONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWl�R OR CONTRACTOR <br /> � <br /> r• -� <br /> JOB SITE ADDRESS: ��C� � �� . �Jr�l�l.� ZIP: � =� � S (� <br /> NAME OF OWNER: ��� �(��r) Ll PHONE: (home) � - ( 3 �{ <br /> (work) (c2.�Z-Z�-Ip -�"�� <br /> MAILING ADDRESS: S 7� � `' CITY: �j�v ZIP: �',S��� <br /> CONTRACTOR: PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: 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 /> PROPOSED WORK(describe in detai�: p--�. (.`� 2 (o. X �� <br /> STORIF;S: ' SQ. FEET OF EACH FLOOR: _��Q� <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.� <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ /'l, ��d_�� <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 City 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 accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ' ;�DATE: �)�-� � ( �' <br /> NOTE! Parade of Homes events require separate permit approval by Police Department ancl <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />