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Total Fee: $ -A 15= �C> Date Received: <br /> Entered By: Permit#: <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) . OWNER"O CONTRALTO <br /> JOB SITE ADDRESS: fq.-: 41 3 y h � Ufa . ZIP: S �3�� <br /> � i <br /> NANIE OF OWNER.: _T e 0105®h PHONE: (home) <br /> (work) <br /> MAMEgG ADDRESS: CITY: ZIP: <br /> BELA ROOFING&REMODELING,oNC. <br /> CONTRACTOR: 4100 EXCELSIOR BLVD. PHONE: <br /> CONTACT PERSON: ST.14UU1dFAKY-_,MN *MII,E/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # l 5 d <br /> ARCHITECUENGINEER: PHONE:. <br /> MATLUTG 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 detail): 4P"A'0 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTI1i IATED CONSTRUCTION VALUATION(excluding land): $ !f 9 0 <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! ''grade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />