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CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Date Received <br /> Total. Few'- $ <br /> Date Approved: <br /> Entered By: Permits - __ <br /> _ _ r <br /> ALL INFORMATION MUST BE SUBMITTED IN <br /> FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (Seeee Check-off List Enclosed) <br /> TRE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> ^ , b ,1 '`(,�.. L ./'',b ZIP: <br /> JOB SITE ADDRESS: (work) <br /> / ' �rj A _ c_ PHONE: (home) 7 3 • <br /> ;Z OF OWNER: Oi �/�S <br /> LL <br /> r CITY: /;__ I� L ZIP: <br /> MAILING ADDRESS: (3Pc� J <br /> PHONE: � �/D <br /> CONTRACTOR: ��� ',+ `~ <br /> �ob D CITY_ �'LY� � v-i+ ZIP: � � y��- <br /> MAILING ADDRESS: 1135 L <br /> STATE LICENSE: s I <br /> PHONE:___________________ <br /> ARCHITECT/�GINEER: ZIP: <br /> CITY: <br /> MAILING ADDRESS <br /> REGISTRATION <br /> NAME: <br /> TYPE OF WORK: New <br /> Addition _ Accessory <br /> Structure :dove <br /> • <br /> Renovate Land Alteration__ <br /> Demo Re_•nodel/Alteration_ <br /> PROPOSED WORK (describe in detail) : Zr <br /> STORIES:___,___ SQ. FEET OF EACH FLOOR: <br /> GARAGE STALLS: <br /> ATT. .X. DET. <br /> NO_ OF BEDROOMS:_• nn <br /> ESTIMATED CONSTRUCTION VALUATION (excluding <br /> land) : $ � (J 2l <br /> for a building permit and I know be in conformance wledge that the f ath thn <br /> I hereiy apply that the w Code; that I <br /> e <br /> above iscomplete and accurate; and with the State Building permit; and <br /> understandndianaand codesnof the City <br /> this is not a permit and work is not to start without a p <br /> that the work will be in accordance with the approved plan.__ <br /> DATE: <br /> C% �i <br /> APPLICANT'S SIGNATIIRE: <br />