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10/18/94 16:25 THE CITY OF ORONO 612-473-7357 002 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> •► 1//, 3-3Date Received: <br /> Total Fee: <br /> $ <br /> Date Approved : <br /> Entered BY�_ Permit$_ "!! 7/ <br /> ALL INVOMATIO19 MUST HE SUBMITTED IN FULL BEFORE PLAN REvII:W WILL BE STARTED <br /> (See Check-off List Enclosed) _ ' _____..__.._____ __ <br /> ^ <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR / /i41Y <br /> /CY ZIPS <br /> JOB SITE ADDRESS= <br /> (work) <br /> '7'r-f�6LOu�: f3/LG�� <br /> TONY MDr-N COMrAtrf 1 PHONE: (home) <br /> NAME OF OWNER: <br /> PLYMOUTH, MN 55443 CITY: ZIP: <br /> MAILING ADDRESS:_' <br /> PHONE: <br /> CONTRACTOR: <br /> 41CO n1-nI:3111nE GAN:►_ CITY: ZIP: <br /> MAILING ADDRESS: Pf YP1(ii'TH Mtl Aw�Z <br /> STATE LICENSE: # � 0 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: <br /> CITY: ZIP: - <br /> REGISTRATION i <br /> NAME: <br /> TYPE of WORK: New Addition Accessory Structure Move <br /> Demo Rem /Alteration Renovate Land Alteration <br /> o <br /> PROPOSED WORK (describe in detail) : <br /> ,l Is}�F/oo� <br /> STORIES:_ � <br /> SQ. FEET OF EACH FLOOR:nni:iw o. / �7 <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET• <br /> ESTIMATED CONSTRUCTION vALUATION (excluding land) : $45& <br /> �V <br /> the information <br /> I hereby apply for a building permit and I acknowledge that <br /> above is complete and accurate; that <br /> andthe <br /> w with theState <br /> will <br /> ln conformance with <br /> Building C del thathI <br /> ordinances and codes of the City <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: <br />