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' . Total Fee: $ ���� ' 'D DateReceived: � i L- 1 ' <br /> Entered By: %� �� Permit#: �-r ; <br /> CITY OF ORONO —BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print atl informatior�) <br /> THE APPLZCANT IS: (circle one) OWNER OR O <br /> JOB SITE ADDRESS: I�q 0 � ��� �, . z�: <br /> Wil�tbis be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No Ijyes,a speciad event permit is regurred with Police Departmenr and Clty Council apprava! <br /> 60 alays prior lo the event. Shuttle bus service widl be seguired unless applicant demonslrates <br /> s�cient on-site parking is warlable. Non permitted events wilf not be allowec! <br /> NAME OF OWNER:�ro� �,h1-e-r s rxorrE: (home)RS a . -Q�-c�(.o <br /> � (work) <br /> MAILING ADD�tESS: � I CTTY: ZIP: <br /> RENEWAL BY ANDERSEN <br /> CONTRACTOR: 1920 COUNTY RD, "C" WEST ����' <br /> CONTACT PERSON: _ ROSEVILLE,MN 55113 'AGER: <br /> MAII�INGADDRESS: _ 631-264-4777 �� <br /> STATE LICEN5E: # LICENSE#20130983 f DATE: <br /> A�2CHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: 7.IP: <br /> NAME: REGI5TRATION: # <br /> TYPE OF WORIi: New Home Addition Accessory Structure <br /> Move Home RemodeUAlteration(ie: Siding,Windows) �C <br /> Any earth movement may require MCWD review ar�.d perrttits! <br /> PROPOSED WORK(descrdbe in detai�: � GJ <br /> , � <br /> STORIES: SQ.FEET OF EACH FY�OOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTAC�IED DETACHEDT <br /> E5'I'IlVIATED CONSTRUCTION VALUATION(excluding land): $��SS� _ <br /> I hereby apply for a building permit and I acknowledge that the information aborra 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 pemut and work is not to staxt without a persnit;and fhat t]�e work will be <br /> in accordance witlz the approved plan. <br /> APPLICAIVT'S SIGNATiJRE: : IllG � <br /> 31 <br /> �/l 'd 88�� 'oN �ui } � iwaad sauo� aap �3 Wb'8Z �Ol 900Z '9l 'a�W <br />