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d�em�e.d Z/�/v.� <br /> - ;��.,1 e. � <br /> G�G �` 5�S(v <br /> Total Fee: $ Date Received• <br /> Entered By: PQ''""t#� 2 �%� ° <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All informadon must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> 4235 Co.Rd.6 ZIP: 55356 <br /> JOB SITE ADDRESS: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes Q NO If yes,a special event permit is required with Police Department und City Council approva! <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> suffrcient on-site parking is avai/able. Non-pe�mitted events will not be allowed. <br /> NAME OF OWNER: W�Iliam Wyatt PHONE: �IlOrile� �952�475-1427 <br /> (work) <br /> MAiLING ADDRESS' 4235 Co.Rd.6 CITY. Long Lake ZIP� 55356 <br /> CONTRACTOR: � PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: Z�� <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure ✓ <br /> Move Home Remodel/Alteration(ie: Siding, Windows) <br /> PROPOSED WORK(deseribe in detain: 12 X 20 Metal Building see attached Drawing and Site Plan <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 2,000.00 <br /> I hereby apply for a building permit and 1 acknowledge that the information above is complete and accurate; <br /> that the wark 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: �n DATE: dZ( �IO�_ <br /> 31 <br />