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� <br /> / <br /> . r C� . 2`� �'� . � <br /> Total Fee: $ � !� ,� „ � ��� Date Received: l U-/U-Q� <br /> Entered By: ,E'jyL'(� ��� � Permit#: J'�C.'`�:�-7? <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please pri�it a1!infoimation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (cif�cle one) OWNER CONTRACTOR <br /> JOBSITEADDRESS: �2-10 1.���"� S�O� � FZ Zip: s53�p� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS �NO If yes, n specinl event per���zt rs reguired with Police Depar�tment ar�d City Counci!approva! <br /> 60 days pr ior to the evend. Shzrttle bars service tivill be r•eguired iu�less applicant demorzstr�ates <br /> sarfficient on-site parking is available. Non-per•mitted events tivill not be allorved. <br /> NAME OF OWNER: y�'� �'���' PHONE: (home) �2���3�� <br /> MAILING ADDRESS: �2-1`� �d� 5�� C12TY: ��� ���Z P�SS3� � <br /> CONTRACTOR: �� ���'� PHONE:�S 29 3 S 38� <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDl�ES5�l42(Y�A*/V l 0.v 1� __CITY: �M,T�KA ZIP: 553��j <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Home Remodel/Alteration k <br /> v��-c� �5�. �oa�' � <br /> PROPOSED WORK(describe ir�,de�i�: � 1�..� �c <br /> �.00-F - 2` � � � -r <br /> S'I'ORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTAC�HEi) DE'TACHED <br /> E�TII�AT�i3 CONS'�RUCTION VALUATIOIW(excluding land): $ 56C� <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and�vith the State Bui lding <br /> Code;that I understand this is not a permit and w •� to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATU . ATE: �`�Z�O� <br /> 31 <br />