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r � <br /> � -. <br /> Total Fee: $ /��o• �o.� Date Received: �� ��4�'' <br /> Entered By: Permit#: �Ol�– al 7� <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: a� � �O SIl L�C�t� GJ 0 0 Cr /5 Ci ZIp; 5S 3 9 � <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑No If yes, a special event permit is required with Police Department and Ciry Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demorrstrates <br /> suffcient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: �� ' � 1 �'� J �m�- PHONE: (home) ��/ -8�g L <br /> (work) <br /> MAILING ADDRESS: �/0 G �'J�l!'r f((�W�o C'� CITY: G�0 f 1 O ZIP: �5'3 9/ <br /> Pella Windows and Doors <br /> CONTRACTOR: 15300-25th Ave.North, Ste. #100 �HONE: 9�Sa 34 S• G o Y 7 <br /> CONTACT PERSON: _ plymouth, MN 55447 �R� .Sod� � �l tJ�!' ofl� S <br /> MAILING ADDRESS: _ License# 20165884 Z�' <br /> STATE LICENSE: # '763-745-1400 �ATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home RemodeUAlteration(ie: Siding,Windows) — <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED ORK(describe in detai�: � L.� //1 C�ot.� �c D f�u��n—r� <br /> i 5� Sl � .! �► <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3 a � � <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: —� ATE; � b( �( � � <br /> 31 <br />