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U� � � <br /> �,a' ���� �������D <br /> ��'�, <br /> ,. <br /> Total Fee: $ T �• l DabeReceived:������-� � � L��8�2 Z�� <br /> Entered By: Permit#: << ����,'-{y� ,� ,��U� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before ptan review witl be started. <br /> (please print all information) <br /> _�r_�__^____��_�__��____� �__ ________________�_�_�����a____ <br /> THE APPLICANT IS: (circle on O O CONTRACTOR <br /> JOB SITE ADDRESS: 3407 Crystal Bay Road ZjP, 55391 <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 and City Council appraval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient an-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: Cathy Sweet PHONE: �IlOri12� �952)471-9233 <br /> 3405 C stal Bay Road Orono (WOT�c� (612)770-7470 <br /> MAILING ADDRESS: ry CITI': ZIP: 55391 <br /> CONTRACTOR: Le�fA a�ae�on PHONE' (651)214-7332 <br /> CONTACT PERSON: LeifAnderson MOBILE/PAGER: (651)214-7332 <br /> MAYLING ADDRES$: 178 Bridgewater Trail CITY: Hudson Zip; 54016 <br /> STATE LICENSE: # 20631287 EXPIRATION DATE: 03/31/09 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration(ie: Siding,Windows) ✓ <br /> Any earth movement may require MCWD review and permits! <br /> PROP4SED WORK(describe in detain: Improvements to inc]ude:window replacement,laminate flooring, <br /> Hardwood re£mishing,kitchen countertops,and appliances,bathroom plumbing,and fixtwes. Rk.�vu�v.4�- J(-' A�PTr�c,i;r.✓J 6 r}/U�c�( 57�Y�� <br /> STORIES: 1 SQ.FEET OF EACH FLOOR: 1°°0 <br /> NO.OF BEDROOMS: 2 GARAGE STALLS: ATTACHED ✓ DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ t6,000.00 <br /> I hereby apply for a building permit and I acknowiedge that the informarion above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes o the City and with the State Building <br /> Code;that I understand this is not a pe d work is not to s wi outta permit;and that the work will be <br /> in accordance with the approved pl . / <br /> � <br /> APPLICANT'S SIGNAT L�� ' DATE: ~7 Z � ��'7 <br /> 31 <br />