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M <br /> �, <br /> � G) <br /> . � Total Fee: $ '� ��� DateReceived: g'��O�O <br /> Entered By: '���Y�'�l S�`� Permit#: fJ !B/7p <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 O CONTRACTOR <br /> JOB SITE ADDRESS: 345 NORTH ARM LANE ZIP: 55364 <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � NO If yes, a special event permit is required with Police Department and City Counci/approva/ <br /> 60 days prior to the ei�eni. Shcdtle btrs service i��i/1 be reguired un/ess applicanl demonsb�ales <br /> sufficient on-site parkrng is available. Non-peri�ir�ted events�vil!not be allowed <br /> NAME OF OWNER: DAVID&KARLA SIPPRELL pHONE: �hOlTle� �y52)472-2941 <br /> (work) <br /> MAILING ADDRESS: 345 NORTH ARM LANE CI.I.y. ORONO ZIP: 55364 <br /> CONTRACTOR: SMUCKLER CUSTOM BUILDERS,INC. PHONE: �952)828-1908 <br /> CONTACT PERSON: JACK smucKLE2 MOBILE/PAGER: <br /> MAILING ADDRESS: 7509 WASH[NGTON AVE S CITY: EDINA ZjP; 55439 <br /> STATE LICENSE: # zo3s42s3 EXPIRATION DATE: o3i3�io� <br /> ARCHITECT/ENGINEER: SMUCKLER ARCHITECTURE,INC pHONE: 952-828-1908 <br /> MAILING ADDRESS: �509 WASHINGTON AVE S CI'I'y: EDINA ZjP; 55439 <br /> NAME: 1ACK SMUCKLER REGISTRATION: # ��5g9 <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 /> PR�P�SE�wORK�LtBSCYIdB Li1(I6lQlI�: BASEMENT FIN[SHING: NEW INTERfOR PARTITION WALLS, <br /> LIGI IT FIXTURES,&PLUMBING. <br /> STORIES: asMT SQ.FEET OF EACH FLOOR: 190° <br /> NO. OF BEDROOMS: 1 GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �so,000.00 <br /> 1 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 undeistand this is not a permit and work is not to s rt without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE• i��-. DATE: � /� v � <br /> 31 <br />