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� <br /> `/�0,� � <br /> Totat Fee: $ /��/� DateReceived: � 9 09' <br /> Entered By: _ Permit#: <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 APPLICANT IS: (circle one) OWNER OR ONTRACTOR <br /> JOBSITEADDRESS: 3200 N. Shore Dr. Orono ZIP• <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 Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events will not be allowed. <br /> NAMEOFOWNER: Barbara Halper PHONE: (home) 760-468-5468 <br /> (work) <br /> MAILINGADDRESS: same as above CITY: ZIP: <br /> CONTRACTOR: First Street Const . , Inc . PHONE: 612-597-8661 <br /> CONTACT PERSON: ��.��, MOBILE/PAGER: 9 5 2-4 4 2-4 6 0 2 <br /> MAILING ADDRESS: 4 1 7 F'_ 1 �t �t r P P t CITY: wa c n n i a ZIP: 5 5 3 8 7 <br /> STATE LICENSE: # 4141 EXPII2ATION DATE: 3-31-0 9 <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(i.e.: Siding,Windows) <br /> **.�rti��e�arih mor��i�ncnl ata�-require II�CWD Re��ie�H� unc11'e��f�ail! <br /> PROPOSEDWORK(describeindetai�: Finish exi � ; n� bon �s room ov r �arage . <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ $4 6 , 9 2 6. <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 understand 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. �� L .� <br /> �� � C � � C_ <br /> r <br /> APPLICANT'S SIGNATURE: � ' � DATE: � � � � <br /> �� <br /> 31 <br />