Laserfiche WebLink
To<< �''ee: $ Date Received: <br /> Ent�i�d By: Permit#: <br /> CITY OF ORONO - BZTII�DING PERMIT A.PPLICATION <br /> A11 information must be submitted in full before plan review �vill be started. <br /> ' (please print all information) <br /> -------------------------------------------- ---------- --��------------------= <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR j <br /> � � <br /> JOB SITE ADDRESS: � S s" �, �; � ; c Z�: <br /> NAME OF OWNER:.�;;.;� �- i�1���v1c� �,��� I��c�y� _ PHONE: (home) `-� �7 S — C�z I�j <br /> (work) <br /> 1�IAILP�iG A.DDRESS: . CTTY: ZIP: <br /> SELA ROOF'�NG& REMODELING. ���y� <br /> 4100 EXCELSIOR BLVD. <br /> CONTR.A.CTOR: � ST. LOUIS PARK, MN 55416 PHONE: � �"��`> ��'`� {v <br /> C0�ITACT PERSON: tD#0001050 �IOBII.E/PAGER: <br /> MA,II�ING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGI�Ii EER: PHO\TE: <br /> 1VIA,ILING ADDRESS: CITY: Z�: <br /> N�ME; REGIST`RATION# ' <br /> ��- _ (,`� � <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detai�: I�E�,,; � � ��-� " '`�-��' <br /> I-_c�.� � I ` << <br /> ; , � �. <br /> -W` d��.vV� .LL � Q. JL� � G :/�' �� ��y-. j <br /> 1 w <br /> �V��\�tl..( U��''� (..,�� -.lU-\- �i7 � ��.`,Y� r /"' _' �� l "l f �C� � . <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF B�DROOMS:� GARAGE STALLS: ATT�. � DET. � � - - � - <br /> � <br /> ESTI�VIATED COti'STRUCTION VALUATIO\ (excluding land): S ��S ���'-- <br /> I hereby apply for a building permit and I acknowled;e that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the Ciry and with <br /> the State Buildin� Code; that I understand this is not a perm.it and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> � <br /> APPLICANT'S SIGNATURE: �� � �� D=�TE: ������� �� � _ <br /> � <br /> 1�'OTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />