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CiTY OF ORONO � 6124730510 10lOS/98 09:39 :01/02 N0:332 <br /> � y'3..�3s7 �/ y�5 <br /> Tot81 Fee: $ ' Datc Rcceived: <br /> Entered By: _ ir_E} Permit�i: /` -��� <br /> CI'fY ID�' ORONO - BUIL,DING PERMIT APPLICATION �?�:�;������� <br /> ,-���T <br /> AI! inform�tion must be submltted fn it�il before plan review will be startecR���.�: 0 7 199$ <br /> � <br /> (please prtnt all��formatlon) <br /> ---:,,:; : vr- . O <br /> -__�-------------------------------------------�-------- ------------------- ------_-__�''ry�i�v4 <br /> THE APPLICAN'� IS: (c�rcle one) OWNER ONTRACTOR <br /> JOB SITE ADDR�SS: �6 v /�R/� /�2 ZIP: <br /> NAME OF OWN�R: ��c� �c��i �So ,�1 PHONE: (home) �/�a -S3i j <br /> (work) <br /> MAILYNG ADDR�SS: �'F/rJ � CI'TY: p 20.�.v �IP: <br /> i <br /> CONTRACTOR: PHONE: <br /> CONTACT PERS�111: Ga�e/%y MOBILE/PAGER� 70/ - �ss Fs9 <br /> MAII,ING ADD SS: CITY: .,�v�s�ar��ABB�ING,A\'C. <br /> STATE LICENS : A� �'!i 7rIw1�MNNisSouth <br /> � �F��� <br /> ARCHiTECT1ENIGINEER: PHQNE: MN. 6 <br /> MAII.TNG A�?DIi�SS: CIT'Y: ZIP: <br /> NAME: ; REGrSTRATION A� � <br /> -- , . <br /> TYPE OF WnRI�: New Addition Acxessory Stcucturc <br /> Mo�e Remodel/Alteracion �- Land Alteration <br /> PROPOSED WO�tIC(descrrbe in d�tai�: �a.r p 7�fi �e �cx��_,TT _ <br /> �- - — -- <br /> STORIF.S: l ' SQ.FEET UF EACH FLUOR: <br /> NO. OF BEDRO�MS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION{rxcluding tand): $ S� °a - °� <br /> I hereby apply for�building permit and T acknowledge that the informatian above is complete gnd <br /> accurate; that the v�ork will be in coriformar�ce with the ordinaix;es and codes of the City and with <br /> tbc Statc Butlding �ode; that I understand this is not a parmit and work is noc co scart without a <br /> permit; and that th�e work will cordance with ihe a oved plan. <br /> APPLICAN"T'S SkGNA7�IRE: DATE: /o S <br /> NDTE! Parads Aomes event�nquire separate perniit approval by Poltce Department and <br /> City Courec�l b0 days prrtor to the rvent. Non perrnitttd tvents will�ot be alYowed. <br />