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05i17i95 10:13 THE CITY OF ORONO 612-473-7357 002 <br /> CITY OP ORONO - BII�LDING P�RMZT A�pLICA,TION <br /> pate Received: <br /> �tal Fee: $ <br /> Date Approved: <br /> Entered sy: �i pezmit#:���--- <br /> . INx'OAM�►TION MQST BR SUBM2TTF.D �N FIILL SLFO� PI,AN RE�7IEW WILL BB STARTED <br /> ALx {See Check off List Fncloaed)�__�_�---�--^-- -- ---�-� <br /> _��.^1=���.-...r_���_�'-�� <br /> TgE~APPLiCANT^ZS=` (circle^one) � p����'o�' CON'��CTOR <br /> � � 'L�✓.;�� s-�; �-v� ,,;,_� <br /> .•:I-�. Y�n�' ZZP: `>����� <br /> JOB SYTE ADDRSSSe��� (work l �`�7-�6�3, <br /> �vi<<��-e.- A `�c�rc�cN <br /> pHox�: {home) �l-`�5�3 <br /> NAME OF OWNEK= -�-�. Z I P: .�S��� <br /> -� �t, GYTY: l.^�u. Z•• <br /> �ATLING ADDRESS: ��r7`L�= L,�� L '"k'r�' < <br /> �C-C-(` PSONE s <br /> CONTRACTOR= t` <br /> CITX: ZZP: <br /> MAILING ADA�SS: <br /> STATE LZCENSE: � <br /> PHONE: <br /> ARCHZTECT/�GYNEER: � <br /> cx�r: zir: <br /> MAILING AADRESS: <br /> REG�STRATION � <br /> N1�M8: <br /> Move <br /> N�`,,� AdditiOn Accessory S�ruLanaeAlterativn_ � <br /> TXP� oF �ORR= Renovate <br /> Demo Remo�/Alteration<< <br /> PROPOSED �n10RK � <br /> descr�be in detaxl� = �����`'v <br /> � � �/�. <br /> STORIES:��� S�• P�ET OF �� ��R: <br /> .� � D�T� <br /> NO. OF BEDROOMS:� ��G$ Sm�Ls" ATx. <br /> .�, <br /> vv% - <br /> ESTIMA'rED CONSTRUCTION VAT.•IIATION (ex�Yud��'g �-a�'dj : $ / � �he in�ormatiort <br /> ermit and I acknowledqe tha <br /> I hereby app1Y for a build�n� Pthat the work w�xZ b� �n cdnfoXmance w�th the <br /> above ].s complete and accurate; and Witih the State nuilding Code; that Z <br /> ord�nances and codes of �he Ci.ty <br /> understancl thie� is not a per.mit <br /> and work f s not tv start without s permi�; anG <br /> that the work will be in a c rd nce w�tn the appro��a plsn_ <br /> =� � � �7 5�" <br /> �' � DATE: <br /> APPI.IC1lNT'S SIGNATORx= <br />