HomeMy WebLinkAbout1990-01-31 Application & Permit, Land Alteration-2Pgs #002655PERMIT
CITY OF ORONO
1335 Brown Ro. South • PO. Boy. 66
Crystal Bay, Mmr : 55323
1612► 473-7357
SITE ADDRESS:
REMARKS:
FEE SUMMARY:
Base Fee
Total Fee
CONTRACTOR:
45
User Permit Type
---------45Q_Q4
$50.00
PERMIT TYPE:
Permit Number.
Date Issued Hj�,REFINED
FERNOALE GREEN
-- APFF'l l c arit. --
SMUCK:LER C13RPORAT I►3N 18.3122224
7E•25 METRO BL-VD
ED I NA MN 554.3E
-1224- — -" -" --- -
LAND ALTERAT10N
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OVVNER:
13'�ER GRETCHEN
45 FERNDALE GREEN
ORONO MTV S5391
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TU MAKE THE kEAL IMPROVEMENTS
L ORONO AND AND STAS TO TE (IFLMW NESORK OTA$TRICT BUILDINGG COMPLIANCE
REQUIRE REQUIREMENTS.
4F
r; ANTPEgM1TEESM..NA
CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $ Db Date Received: i
Entered By:
Date Approved:
[ 5
Permit 1QL55
ALL INFORMATION MOST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STA MW
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TEE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JM SITE ADDRESS= 4o4Ei�
NAM OF OWNER: & R.!'re-HEJ 05G rt
MAILING ADDRESS: 45 ff4j J0A'-f- Co�.+J CITY: ORNO
(work)
PooNE: ( home) 913- (09,91
CONTRACTOR: 0V\WJ(-(-J`JZ 60?-P. PHONE:
[MAILING ADDRESS: 1v Z S- MVP u-UP . CITY:
ED 4"/P•
ZIP:
eat- Z224
ZIP: t;SI357
TYPE OF WORK: New Addition Accessory Structure Novo
Demo Remodel/Alteration Renovate Land gyration-7
PROPOSED WORK (describe in detail): 5MP-P 0%4 �x'�s�i..l(e PN1LTMa4ATErerJr`
F110% 'A (AV*TiDJ - To A�Efor Ai-&V, qw 0&a^11e,t /AoO6q- � T ��
SIM28:SQ. FEET OF EACH FLOOR:
20. OF BEDROOMS: GARAGE STALLS: ATT. DET.
EB'PZlIATED CONSTRUCTION VALUATION (excluding land): $
I hereby apply for a building permit and I acknowledge that the informatio:
above is complete and accurate; that the work will be in conformance with th.
ordinances and codes of the City and with the State Building Code; that :
understand this is not a permit and work is not to start without a permit; an(
that the work will be in accordance with the approved plan.
APPLICANT'S SIGNATURE:": 5 �J, z DATE: 1 - 30` %o
(Pleas;-filf out the reverse side of this form)