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, �.�.. <br /> Gj '�j� c�. �'?� <br /> Total Fee: $ � � � Date Received: <br /> Entered By: �M°��>�=; `� �' Permit#• ��- i � :�.1� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (pleuse print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- _. <br /> THE APPLICANT IS: (circle one) OWNER�R CONTRACTO� <br /> �... <br /> JOB SITE ADDRESS' H�'S Ferndale Road W �—"-' �"� ZIP, 55391 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �✓ NO lf ves, u speciul eveiai per��irt is i•equired ivilh Police Depurnnent c�nd Crlv Coirncil approval <br /> 60 duvs prior ro the eti�ent. Shu�Ne h:�rs se�•vzce will he reyuired unless upplicu�u demons�rates <br /> su�cien�on-site purking is uvuiluhle. iVon-per�nitted evenls will not be ullowed. <br /> NAME OF OWNER: T`a`y c°°s�aei� PHONE: (home) (�sa�4�3-i3s� <br /> (work) <br /> MAILING ADDRESS: f945s c�aa�iiu�sr � CITY: °°`E'ha"°" Zip: ss3�i <br /> CONTRACTOR: �«i�k&asso���r�, PHONE: (9sz�s�i-��>oo <br /> COIVTACT PERSON: cnrts ca«te„� MOBILE/PAGER: �612�91�-14�� <br /> MAILING ADDRESS: �ao� way�ara ei�a CITY: st�o�������rk Zjp; ss4z�, <br /> STATE LICENSE: # ��s4 EXPIRATION DATE: o3i3 vo� <br /> ARCHITECT/ENGINEER: A`�l'k°eS"°e"011p PHONE: �sa-s9i-��oo <br /> MAILING ADDRESS: �4oi wayz�ta si°a CITy; sr L�u�s P�rk ZIp; ss4z� <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) ✓ <br /> PR�P�SE�wORK�CIeSCYIbC'1/1(�ellll�: �'rovidc remodel of lower lcvel garage entry,bathroom,and convert <br /> lower level library into a bedroom. Add second story master suite above existing space. C�� <br /> � ,��'�,. <br /> STORIES: T_ SQ.FEET OF EACH FLOOR: �°`��r=x28,Main= 1,634,Upper=831 - <br /> NO. OF BEDROOMS: 3 GARAGE STALLS: ATTACHED ✓ DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ���.000.00 <br /> I hereby apply for a building permit and 1 acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes ofthe City and�vith the State Building <br /> Code;that I understand this is not a perinit � work i�t to s art without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'SSIGNATURE: ,����� ' DATE: o9;i3io� <br /> 31 <br />