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��kTY OF ORONO � 6124730510 09/24/96 14:00 � :02/03 N0:522 <br /> i <br /> T�1 Fee: s n�xe��i�«s: <br /> Fntered By: Pennit�Y: <br /> CITY OF OROlriO - BUILDING PERMIT APPLICATION <br /> AI�informatl�must be submitted In t'utl before plan review will be etarted. <br /> ' �, (pleas�e print all lr�jormarlon) <br /> � ..�....__-----�_ ______......�...._._.-�------�.------------- -----�____________ <br /> THE K�'PI:ICANT IS: (ctrcle one) O'�VNFR OR ONTRACTOR <br /> • • . , <br /> JO� SI1'E,�IDDREss: o?I I�- s�u �.��� zIP: � � '�. <br /> •. NAME OF OWN�R�g��ln�- �.beC cc�'�rr�_ o � PFiONE: (home)Cat •U� �I• D�a�O <br /> (work) <br /> �ti.n�rG�Dx�ss: all`�- 5 • �����I.CrrY: r5�,sstL� zrP: � <br /> . . . . , <br /> CONTRACT4R: RE�EWAL BY ANDERSEN ,�; � <br /> . COIVTACTPERSON: 350-73RD AdE. NE R; - - --- ' <br /> � rRIDLEY, MN 55432 Z�� <br /> . • r''IA��G��•_,' (612) 502-4777 • : <br /> �b"rAT� LICENSS: N LICENSE #20130983 <br /> . ARCHITECT/ENGIIYEER: P�IONE: <br /> A��LING ADbRFSS: C�!'Y: ZIP: . . <br /> NAME: REGISTRATIUN# <br /> TYP� OF WORK: New Add'uion Aooessory Savcdu� <br /> Move Remodel/Alteratlan Land Alteration� <br /> PROFOS�I?WORK(deser�be in detai�:�q�P���"�j� �� �SQu�'� <br /> �1l� 0 c ����y� �9.J�C�S'Il YY.a OLLZQ_�� • <br /> . �� <br /> ST�1�tIES: SQ.FLBT OF EACH FLOO�t: <br /> 1�T�. OF BEl?ROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED C4NSTRUCTION VALUATION(excludit�g lan�: $ ��Qd(�' _ <br /> I hQreby app�ly for a bu.ilding permit and I acknowiedgc tbat tt�informaaon above is comptete end <br /> accurate; that the work will bo in conformac�ce with the ord�nces and �of the City and with <br /> , ' the State Building Code; that I u�idereta�d this is not a permit and work is not ta start wlthout a <br /> pern�it; a�d that tbe work will be in accotdance with the spproved pian. <br /> APPI.ICANT'S SIGNATURE: DA1Es ,�, • Q <br /> 1NOTE! P � niHQ�r,�events nqafne aepamts pen�rtt gpproval by Pollca Deparrir�ent ond <br /> GYIy Counell 60 d�ya prlor to tha event. Non�ar,n�tted�ve� w�U no�be ol'Yowed. <br /> Rer.nivad Timo Cnn 7A 1 �A7Aluf Arin� Tir�n Cnn 91 1 � A7D1( <br />