Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
! � <br /> , . <br /> G�'`" 'D� <br /> 3 zs� <br /> Total Fee: $ ro3.ZO Date Received: 3��T�� <br /> Entered By: Permit#: ���0�2�2. <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 inforrriation) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- "�1 <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTO <br /> �pRrNv Nh�•�. Go� <br /> JOB SITE ADDRESS: 'tZ� C,pblhlTy IZGI4 p V ZIP: 55�1 I <br /> d�oNo ,MN <br /> Will this be a Parade of Homes,Remodelers Showcase Home or ot6er Display Home? <br /> ❑ Yes �NO If yes, a special event permit is required with Police Department and City Counci/approval <br /> 60 days prior to the event. Shutt/e bus service will be required unless applicant demonstrates <br /> sufficre on-site parking is available. Non permitted events wil/not be allowed. <br /> J�P1�.�Pt1�N p�` cFt�lcl, <br /> NAME OF9�Y�E�: 1 I�l ,J01�1�I�4N PHONE: (�e�e) q51•�'13. �5�� <br /> Gtw (werk) I�It•812.03'1�} <br /> MAILING ADDRESS:']Z5 L't`� (�p �o CITY: bRONlO ZIP: S� 39 I <br /> CONTRACTOR: Ot�tT'flpp� �NV I I�NM�MS (�iL . rxorr�: 952•�tq Co, It�o <br /> CONTACT PERSON: y SG�I lkN D Mkl2kr MOBILE/PAGER: g52�TJl Z�N l l a <br /> MAILING ADDRESS: �Zi{$� WOOb �t1lC',. S• CITY:�VhCUC%i ZIP: � <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/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 Lreview nd permits! r�— <br /> PROPOSED WORK(describe in detain• �5 � x � v'M �I�C'I� <br /> ' J <br /> 5i oF f� w 'Y�, <br /> Gu � • <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ ��� • 5� <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: � O� <br /> 31 <br />