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�„_ .�.... ww�. <br /> ' 12i22i94 16:2? TF-IE CITY OF ORONO 612-473-7357 002 <br /> CITY OF ORONO - BUILDING PERMIT APPLZGATI�N <br /> Date Received: %/��i��i,"� <br /> Totial Fee: � /'7 ;--�.-/ <br /> Date A�proved: <br /> Entered By:^ f".! • — Permit�: �>�`�� <br /> AT'T• INFORMATION MUST BB SIISIiI7"!'ED ZN �T'L B���se� �V�� ��' Bg STA�tTED <br /> (See Check-off List <br /> TH�: APPLICANT�ZS ^(ci.rc1c onp) OSJ'NER or CONTR.ACTOR <br /> JOS SITE ADDR$55: <br /> 1410 Shoreline Drive Wa z ta N1�1 Z�P' <br /> (woz'k) 673-8216 <br /> pgpNg: (home) 476-8449 <br /> NAHE OP Oi�TNER: Alfred Harriso • <br /> CZq..�: W����a}a ZIP:55391 <br /> MAIL�NG ADDRESS: 1410 Shorel�n nrivP <br /> CONTRACT�R= <br /> Jensen Homes, Inc. PHONE: 475 0548 <br /> lS2�TLING ADDRE35: 60� Carlson� �� �`� — CITY' Mi nnAtnnlc�'t ?'IP'---�`�`�`� --- <br /> STA7.`E LICENSE� � 115h <br /> AftGHI�ECT/�'NGZNEER: <br /> Contractor pH��� <br /> MAILZNG ADDRESS: <br /> CxTY: ZIP: <br /> REGISTR�ITION # <br /> N�1!!L's <br /> Additiion Accessory Structure riove,� <br /> TypE pp i�1pgR: � New X '-'�� Reiiovate�,_ Latid Alteration <br /> Demo Remodel/Alteration <br /> PROpOSED �10RK (describe in detai.l) z <br /> with new <br /> ST�RIES: �1 _ SS2- �ET OF BACE PLO�R s <br /> NO. OF SBDROOM5: 2 GARAGE STALLSs ATT. 2 DET. <br /> � 175 000 <br /> ESTZMAT'ED CONS�UCTION VALIIATSON (excludiag laud3 = $ <br /> Y hezeby apply for a building pezmit and I acknoWledge that the infoxmation <br /> above is complete and accurate; that the Work u+ill be in Con�Oz� COde;v�th thI <br /> ord�.nances and codes of the City and with the S�ate Building ez��t� and <br /> understand this is not a permit and work is not to staz't withaut a p <br /> that the work wil 1 be in ac,�ozdance with the approved plan. <br /> � _i,j�,;,`,/ ��:� . � <br /> � � � �/ DATE s II-/�✓-y 7 <br /> APPLIC.AIiT'3 SZGTdATURB: �'" �'�`' �"� <br />