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From:ELDER JONES INC 952 854 4909 10I18I2006 18:06 �207 P.00�I002 <br /> . <br /> . �� '°1����.� <br /> To#a.l Fee: S �4• �5 DateReceaved: �v ' ✓ - �� <br /> Entered By: Permit#�: l��7 / <br /> �ITY OF ORONO`-BU�DING PERMIT APPLICATION <br /> All i�iaformatiom m�st bc aubmitted in full before plan r�view will be started. <br /> . (p[easeprintallir,}formiation) <br /> THE APPLICANT IS: (circle one) OWNER O NTRACT <br /> ' JOB SITE ADDRESS: a ys� �� �-�"�� ZIP: . 5.��J <br /> W' is be a P of Homes,Remodelers 3howcase Hdme or other Display Home? <br /> ❑� �O .�}'yes,a special event permit is reguired with.Police,Uepartmenl and City Council q�p,ptoval <br /> 60 d�s prior to the event Shunle bus service wP!!be reguf�ed unless qp,plicarit de�►ton4dC�ed <br /> . su,�Iclent on-,rtte parking is available. Non permitted even�s wtll not 8e allowed <br /> NAME�b'O'Vi/N�i'12: '�D OJ 1.1 l� � G L.�Q PT�ON�: (home) G� �1 /-�/��3 <br /> 1171�1NG AbDRE5S: �J o (�) �r�'� �a�^ �� bg <br /> � S L't� CT�i'X: C�'I�o�J O ZYP: rs3� I <br /> CONTRACTOR: ����'SY ANDE�RSEl� �orrE: 94.�- <br /> i92o coviv�xn. c wEST s,�,�t�m yo <br /> CON'z'ACTPERSON: _ ROSEVILY.�,NIN 55113 P`4��' �� ���""��--' <br /> MAYLnvG AnnxEss: , z�TP: <br /> — •� -- - <br /> STATE T.ICENSE: # 651-26�-4777 � 1T DATE: <br /> LICENST#20130983 <br /> ARCHITECT/ENG7�VEEXt: P�IONE: <br /> M�ING ADDRESS: CI'TY: ZIP: <br /> NAIVIE: , . � . � REGISTRATION: # <br /> TYPE OF WORK: New Home Addition . Accessory Structure <br /> � Move�Touae Rezz�odeU,Altezation(ie; Siding,Windows) �- <br /> Any earth movement may require MCWD seview and permiteJ <br /> PROP05�D WOR�C(describe in dezai�. 1r <br /> / �� <br /> � � . <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDRUOMS: GARAGE STALLS: ATTACH�D DE'ZACHED <br /> E�TIMATED CONSTRUCTTON VALUATION(ezcluding land): $ �� �.J� <br /> I horeb�a��ly for a bui.ldit�.g�azx�ait and T ackx�.o�uvledga�that thc information abovo is com�lcto and accuratc; <br /> tb�at the wvrk will be in conformance with the ordinances and codes vf the City and with the State Bualdiug <br /> Codc;that I undcrstand this is not a permit an,d work is not to start wi out a pormit;and that thc work will bo <br /> in accordaznca with the approved plan. � <br /> AP�T.�CAN'r'S SIGNATURE: TE: <br /> ro ` ��p� <br /> 31 � <br />