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. � <br /> Total Fee: $02/�, DO Date Received• <br /> Entered By:-�Y��� Permit#: �//y'�� <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 /> THE APPLICA�NT IS: (circle one) OWNER O C NTRACTOR <br /> JOB SITE ADD�2ESS' 3707 Livingston Avenue �P� 55391 <br /> Will this be a Parsde of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑� No Ifyes, a special event permit is required with Police Department arrd City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be aJlowed. <br /> NAME OF OWNER: �bra Freund PHONE• (home) �253)509-oao9 <br /> (work) <br /> MAILING ADDRESS: Z��3 51 st st.nw CITY: Big Harbor,WA ZIp. 98335 <br /> CONTRACTOR: Under Construction Services,Inc. PHONE• (6l2)381-8608 <br /> CONTACT PE&SON: Bill Masche MOBILE/PAGER: (612)369-1940 <br /> MAILING ADqRESS: a�oo s�er sue�c,su�ce zao C�y; Mpls 7�p; ssa13 <br /> STATE LICEN�E: # 2o2622ao EXPIRATION DATE: 03/31/08 <br /> ARCHITECT/FNGINEER: � 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 /> �OPOSED Wp LRK�(describe in detain: Insurnace Claim Repairs � �,,1�,«,1 �� <br /> STORIES: SQ.FEET OF EACFI FLOOR: <br /> Nd. OF BEDR OMS: GARAGE STALLS: ATTACIiED DETACHED <br /> ES'TIMATED(70NSTRUCTION VALUATION(excluding land): $ t i,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 I undersjtand 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 /> !.L"i,eQ,� , , <br /> AP:PLICANT'S�IGNATURE:� ,�� � DATE: o3ioaio8 <br /> �, .... <br /> 3l <br />