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Total Fee: $ DateReceived• <br /> Entered By: Permit#• <br /> CITY OF ORONO-BUILDING PERMIT APPLICATION <br /> All information must be snbmitted in full before plan review will be started. <br /> (please print all informat�on) <br /> THE APPLICANT IS: (circle one OWNER R CONTRACTOR <br /> JOB SI1'E.ADDRESS: lass s�aywooa R�a �,, 55391 <br /> Will this be a Parade of Homes,Remodelera Showcase Home or other Display Home? <br /> ❑Ye8 Q NO Ijyes,a speciaJ everrt permit is required with Police Department and City Council approva/ <br /> 60 days prior to the evenx Shrdtle bus servfce will be requined unless applicm►t demoratrates <br /> sr�,�cie►�t on-site pr�king is available. Non-pernritted evems will not be allowect <br /> NAME OF OWNER: John Motzko pgONE: (home) (9s2�a�i-oo� <br /> 1855 S (WOtic� (612)760-3413 <br /> MAILING ADDRESS: ��OOd RO� Cj'j'j�• �'OIIO Zj�• 55391 <br /> CONTRACTOR: ��* PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAII,ING ADDRESS• CTTY• ZIP• <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ?IP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Siructure <br /> Move Home RemodeUAlteration(ie: Siding,Windows) d <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: �°ove old shingles and insta1123 sq asphalt shingles,9 sq icelwater <br /> shield,15#felt,roof edge,and roll ridge vent. Also roof toot shed about 1 sq. <br /> STORIES• 1 SQ.FEET OF EACH FLOOR• 11°o <br /> NO.OF BEDROOMS: 3 GARAGE STALLS: ATTACHED ✓ DETACIiED <br /> ESTIlVIATED CONSTRUCT'ION VALUAITON(eaclading land): $ 3,�so.00 <br /> I hereby apply for a building permit and I acknowledge that#he information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: o3i3iios <br /> 31 <br />