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�.i <br /> l,o� <br /> ' Total Fee: $ � . J`� Date Received: �O -S-C� �� <br /> Entered By: Permit#: f�l//5 / <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 O CONTRACTOR <br /> JOB SITE ADDRESS: _�$� j�q��� p Rp. ��O�nU ZIP: 55�v�(o <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �TO Ifyes, a special event permit is required with Police Department and 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 aldowed. <br /> NAME OF OWNER: �06 $ ,�O�C,E �tNrt$p l;f PHONE: (home) t�NuST�1D <br /> (work) N� a <br /> MAILING ADDRESS: �50 P,a+2.Ts�o�oo� RD CITY: Owono ZIP: _$535� <br /> CONTRACTOR: LEMMEer�A�r� (�SLI, �G PHONE: '763-229-231�0 <br /> CONTACT PERSON: 7Ur� MOBILE/PAGER: " � � <br /> MAILING ADDRESS: 9037 �'�Y 2n ►7 5E CITY: �E�o ZIP: �532g <br /> STATE LICENSE: # 485y EXPIRATION DATE: Ma� og <br /> ARCHITECT/ENGINEER: N I a 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 /> PROPOSED WORK(describe in detain: NEw DiEc�.►NG o�.l EXIST�Nb ,�� . <br /> n��w r�ru►�c�s, ntEw �-rk�R.w�c, , R�►-+ouAt�E oc s�r�wau� -ro l,.atc.� � so� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 2,5�Da0°D`� <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. <br /> APPLICANT'S SIGNATURE: E; p2 0� 0'� <br /> 31 <br />