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Total Fee: $ Date Received: <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 /> (p[ease print all information) <br /> . THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR . <br /> JOB SITE ADDRESS: L `�O O��( �,c,� �, n�� R z�: S� 3 9� � <br /> �. 3�� uan � �a d <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO Ifyes, a special event permit is reguired with Police Department and City 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 /> NAME OF OWNER: Ka-� h v S c h u rn a c h.c t PHONE: (home)�7 S • 3�1 S <br /> work) <br /> MAILING ADDRESS:��b ��(� � 011 t'i � � CITY: fl � ZIP: S S 3 9 � <br /> Pella Windows and Doors <br /> CONTRACTOR: 15300-25th Ave. North, Ste. #100 �H��� 4�� j3y5'�+a y� <br /> CONTACTPERSON: _ plymouth, MN 55447 GER:��bdi lA fld�� Jb6yJ <br /> MAILING ADDRESS: _ License# 20165884 Z�' <br /> STATELICENSE: # '763-745-1400 �ATE: <br /> ARCffiTECT/ENGINEER: 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 W�RK(describe in detain: 5 W!l� d�D W rt ��L� L� �'ll11 T' S <br /> /�'�'� �1 [� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � v�, � 3 1 <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:� � DATE: � �( r 3` � � <br /> 31 <br />