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, <br /> � <br /> Total Fee: $ ���' �� � Date Received: �"����'��' <br /> Entered By: Permit#: /� �'''j� �i S� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> J�B SI•I•E ADD�SS: 3285 Lafayette Ridge Court ZIP. 55391 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ I�eS ❑✓ No /f yes, a special event permit is reguired with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless app[icant demonstrates <br /> sufficient on-site parking is available. Non-permitted events ivill not be allowed <br /> NAME OF OWNER: Da��d&7an�ce.Tamieson PHONE: (home) 471-7272 <br /> (work) (612)291-7503 <br /> MAILING ADDRESS: Same CITY: ZIP: <br /> CONTRACTOR: Sel£ PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: Self 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 /> PROP�SE�w�RK�CtBSCYIbe ll1(te1Q[�: Six new windows for the Bedrooms replacing old existing. <br /> Removal of Drywall due to mouse infestation and adjustments of some none structural walls. <br /> STORIES: 2 SQ.FEET OF EACH FLOOR: 1200 <br /> NO. OF BEDROOMS: 4 GARAGE STALLS: ATTACHED ✓ DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 6,000.00 <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that[ understand this is not a permit and work is not to�.ta�without a permit;and that the work will be <br /> in accordance with the approved p.lan. <br /> • � �^.._ �_----,-� fj <br /> APPLICANT'S SIGNATURE: �; ----�='"%� DATE: 7 `�Z - �1E� <br /> 31 <br />