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��� _ 10i18i94 16:25 TF� C1TY � �0 612-473-7357 062 <br /> f � . <br /> � � 4 CITY OF ORONO - gUILDING p�IT APPLZCI�TIOH <br /> ' �,�� �c� Date Received: ' -'���� <br /> Total Fee: S_s� <br /> Date Approved: <br /> Entered BY�_��-� - Perncit�= <��Z <br /> �,y I�spgtlATIOP MOST B$ SIISMITTLtD IN PULZ BP•F'ORE Pr.�N REVI� �� HS STARTED <br /> (See CheCk-off List Encloaed) <br /> �r��.���+�w���w���M��������w���. <br /> TSE Appyl�T Ig; (circle one) OWNER o CONTRACTOR <br /> ZIPs <br /> JOS SITE ADDRBSSs <br /> (wvrkf <br /> � TOPJY CIn�FJ COMf APJY 1 PSONB:(home) <br /> NAME OP OWNEIt s ' . , �- <br /> PLYMOUTH� MN 55443' CZgy: ZIEs <br /> ;K1�TLING 11DDRESS� <br /> p$o�: S.5 9• 0,2 S/ <br /> CONTRI�CTOR: .,� , . � <br /> 41C0 CL•fl1:SIItnE �A�:E ��q: ZIP: - <br /> 1�lAIbING 14DORBSSL_ PlYF1„��T�� •••� �F ,� - <br /> STA� z��s8: � 3� 2 0 <br /> PHONE: <br /> ARCBITSCT/SNGINEERz . <br /> MAILING ADDRSSSs <br /> CITZ: ,_,�,,,_� ZZP: <br /> REGI5TRATION # <br /> NA!!E 2 <br /> Addition Accessory Structure Move • <br /> ��� pp ��; NE� Renov�lte Land Alteration <br /> Demo_____ Rem�/Alteration <br /> PROPOSED WOR1� (desczibe in detail) : <br /> . s . P�ST OF EACH PLOOR: s��/00 = � 9a L.�• 1�9� <br /> STaRIEB..,,_,,._„ Q 1/ <br /> Pp. OP BBDROOMSs� C�G$ STAI.LS: ATT.,� D�• <br /> ESTII+tA2'ED CONSTR�CTION vALIIATZON (e=cludinq Iaad) : S ���j /��' "" - <br /> Z hereby apply tor a bulldinq p�smit and I acknowledqe tha� the informatfon <br /> above is complete and accura�e; tha nahw th theZ tatelBuild n�m Code;,ithathl <br /> ordinances and codes of the Ci.ty <br /> understand thia is not a permit and work is not to start without a permit= and <br /> that the work will be in aceordance with the approved plan. � <br /> � DATE: ���� ` � <br /> �pLZc�riT�s szcrin�: <br /> e <br />