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Total Fee: $ Date Received: <br /> it WI 80 <br /> Entered By: Permit#: i <br /> 0) 1c), <br /> CITY OF ORONO - BW,LtiING PERMIT APPLICATION <br /> u '''' All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) Q ER OR CONTRACTOR d <br /> i <br /> JOB SITE ADDRESS://z2 OGD cPpfr79L 73/3 / /2 d 5 ZIP: 5 S 9/ ,, <br /> � g <br /> Pnc&- (/2 £ Z <br /> '0 6o <br /> NAME OF OWNER: 6p,�-i/' 9 ( Ja <br /> AA 4 i �` PHONE: (home) 7:5-A �f 71 v o 9, <br /> (work) '95 Z 5-2,5- (/,5,/ <br /> MAILING ADDRESS: �2o>: c-..s-- CITY:c R,_5 7-13.[_ 134,y ZIP: .c - ) -z...: <br /> CONTRACTOR: .T �,A PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: p <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> trt <br /> U, <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure 7- <br /> Move Remodel/Alteration Land Alteration x <br /> PROPOSED WORK(describe in detail): / 0(1.4, CY c / ds Co,p s ////,/ J <br /> U <br /> e' 1 M <br /> STORIES: SQ. FEET OF EACH FLOOR: l4 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3 4 O <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- ,,jr-- DATE: %//2-4% <br /> NOTE! Parade 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 />