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.I <br /> Total Fee: $ /('polo A? Date Received: 5- <br /> Entered By: DAM= Permit#: A® d'o`�D <br /> 41" P"\ CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> 12� All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ---------------------------------------------------- <br /> ---- ------------------------------------ ---------- <br /> THE APPLICANT IS: (circle one) <22!2jER OR CONTRACTOR <br /> JOB SITE ADDRESS: 2510 Old Beach Road, Orono ZIP: 55391 <br /> NAMEOF OWNER• Timothy Olson PHONE: (home)952-471-8685 <br /> (work) 952-949-8505 <br /> MAILING ADDRESS•2510 Old Beach Rd CTTy. ayza a ZIP: <br /> CONTRACTOR: N/A PHONE: <br /> CONTACT PERSON: MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: N/A PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure Detatched Garage <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): Construct a detatched garage <br /> STORIES: 1 SQ. FEET OF EACH FLOOR: 480 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. X <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ $3,500 <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordan� approved plan. <br /> APPLICANT'S SIGN DATE: <br /> NOTE! Parade gf Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />