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08/18/2009 14:36 952-935-9544 MINNESOTA RUSCO PAGE 62f02 <br /> +r <br /> Total Fee: $„ �J���[O J� Date Received• �� � s.� � <br /> �1�� Permit#: O <br /> ''Entered By: <br /> C� OF ORONO � B�DYNG PERMIT AJ.'PLICA�ON <br /> A11 informat�on niust be submitted in fiil1� be�ore pla�n re�view wxll be staxted. <br /> (please print all infortnation) � __��_r. _ <br /> . __--_____ _� <br /> TI� A,PPL�CAN'I` IS:--- (circle one) O'9VNER O CONTRACTOR <br /> ros srrE aa�n�ss: l36 ��W 1 �.� z�:. 5S <br /> �R: �; . � �' � �ortE: cno�) . �73•/�o/ <br /> rr� o� o - tW k� �rz• <br /> �v�,.u.nv�,A►nnx�ss: _ <br /> •�� '� cY�: � �n�: ��� <br /> � . Psorr�:.:�5�• 9�5��'��`� <br /> C�NTRACTOR: MUBILE/PAGER: !o!Z• 2 O- Dp5 <br /> CONTACT PERSON: • Xp; 6� <br /> MAII�INGADDRES5: �s58 a. iu�e� C�i'Y: <br /> 5TATE L�CE�TSE: #_ oZl73 <br /> ARCHXTECTlENG�IEER: . � P�YONE: � . . . <br /> , CIT'y; ZIP:^� <br /> MAII,INC ADDRESS: REGISTRAT�ON# <br /> NAME: <br /> Addition ��sory �ze <br /> TYPE OF'VVOXtK: NeW �odel/Alteration� Land Alteration �' <br /> Move ,�_ � <br /> , �v�r�Or� <br /> p�p �n�Y0 �describe in detai�: <br /> . <br /> STOXtIES: SQ.FEET OF EACH FLOOXt: <br /> �'�`-'� GAItAGE STAL'LS: ATT. D�T.r <br /> �vo. OF SEDRO��: � -- . o a <br /> F�S <br /> 1'Ilv�ATED CONSTRUCTXON VALUATION (exclu�1II�lan�: S lJ��� <br /> I hereby apply for a building permit and I acknowledge that th�e inforrnation abo've is coznplete and <br /> accurate; that the work�uvill be in conformance with the o���d�k is�not t.o start wit7aou a <br /> the State Bu�lding Code; that I understand this is not a p I <br /> permit; and that the wark wi,]1 be in accor `e with the approved plan. <br /> ,Appx,ICANT'S SXGNAI'LIR�: <br /> � DA'�`E: � � " / <br /> NQ�r e events requir separate penrtit a,pProval by Police Aepard�cent and <br /> City Cauncil 60 days prior to the�event. Non pernlitted events will not be allowed. <br /> 5 <br />