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Total Fee: $ `��� ly f <br /> Date Received: � -�-�,(� <br /> � `� Entered By: � Permit#: ,4/Dd/ <br /> � <br /> , �\�� <br /> ��3 CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> '. <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 R CONTRACTOR <br /> 2180 Abingdon way 55356 <br /> JOB SITE ADDRESS: ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes Q✓ NO If yes, 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 /> su�cient on-site parking is available. Non permitted events will not be allowed. <br /> Richard Gage 612 9161272 <br /> NAME OF OWNER: PHONE: (home) <br /> 2180 Abingdon Way Orono �`�'^Tk�612215866(1 <br /> MAILING ADDRESS: CITy ZIp: 55356 <br /> CONTRACTOR: xO1�fo�t�e in� PHONE: 320 2s6�oso <br /> CONTACT PERSON: _dale hoikka MOBILE/PAGER: 6122218038 <br /> MAILING ADDRESS: po box 606 - C�y.dassel ZIP• 55321 <br /> STATE LICENSE: �# �-20391605 EXPIRATION DATE: 3-31-07 <br /> SEG inc. 6123392844 <br /> ARCffiTECT/ENGINEER: PHONE• <br /> MAILING ADDRESS: �WashingtonAvenue North CITY• Minneapolis �p. Mn <br /> NAME: Caivin Lundquist REGIST�TION: # 7535 • <br /> TYPE OF WORK: New Home Addition Accessory Structure ✓ <br /> Move Home RemodeUAlteration(ie: Siding, Windows) <br /> Any earth movement may re�uire MCWD review and ermits! <br /> PROPOSED WORK(describe in detai�: We are put mg a ga e across the drive with a column on eit�ier <br /> side of it.There are also four more small pedistals going up the dnve. <br /> STORIES: "�a SQ.FEET OF EACH FLOOR: "�a <br /> NO. OF BEDROOMS: �a GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 2'Soo'oo <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the wark will be in conformance with the ordinances and codes ofthe City and with the State Building <br /> Code;that I understand this is not a permit and wo 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: C�C �� �b <br /> � � <br />