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, • <br /> . . , U'y' �'��.o'f <br /> Total Fee: $ �o�• �8 Date Received: 5��� D� <br /> Entered By: Permit#: D 7��'7 <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 /> ------------------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 1 972 Shadywood Road ZIp; 55391 <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No If yes, a special event permit is required with Police Department and City <br /> Council approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: Michael R. Mischke PHONE: (home) (61 21 270-8451 <br /> (work) ( 952) 475-0548 <br /> MAILING ADDRESS:1 9 7 2 Shadywood Road CITY:Orono ZIP: 5 5 3 91 <br /> CONTRACTOR: N�A PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: N�A PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Accessory Structure _X _ <br /> Addition Move Home <br /> RemodeUAlteration <br /> PROPOSED WORK(describe in detain: To add a detached 2 car garage and <br /> install an attached 100 sauare foot deck. <br /> STORIES:One SQ. FEET OF EACH FLOOR: 4 0 0 <br /> NO. OF BEDROOMS: 0 GARAGE STALLS: ATTACHED DETACHED 2 <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 9.8 5 0 <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE: . n DATE: 4-2 3-0 4 <br />