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10/18/94 16:25 THE CITY OF ORONO 612-473-7357 002 <br /> ` CITY OF ORONO - BUILDING PERMIT APPLIC1fTION <br /> Date Received <br /> 'Total Fee: $ <br /> Date Approved: <br /> Entered BY:- Permit 1: "7 "11,z <br /> ATION MUST BE SUBMITTED IN FULL DF-PORE PLAN REVIL'W � Ag STARTED <br /> ALL INFORM^_- . -- - <br /> (See Check_off^ List-Enclosed) <br /> ------------------------ <br /> -- -----^ -M^_----_ -- <br /> THE-ArPLICANT I5: (circle one) OWNER <br /> OWNER or CONTRACTOR <br /> SIP: <br /> 3 S <br /> JOB SITE ADDRESSz <br /> / ilL�iO _ <br /> (work) <br /> TONY CInEPJ COmF'A!d'f PHONE: (home) <br /> NAME OF OWNER: ZIPS <br /> PLYMOUTH, MN 5544.3 CITY: <br /> MAILING ADDRESS: <br /> PHONE: S-> • D,2 �� <br /> CONTRACTOR: a <br /> 4100 CI.=(ll:Ulll(1E I,A�dO CITY; ZIP: <br /> MAILING ADDRESS: <br /> STATE LICENSE: # 2 0 <br /> PHONE: <br /> ARCHITECT/ENGINEER: <br /> CITY: ZIP' . <br /> MAILING ADDRESS: <br /> REGISTRATION # <br /> NA2iE 2 <br /> Accessory Structure Move_ <br /> TYPH OF WOjtK; New Addition Land Alteration_ <br /> o_ <br /> Dem <br /> Remo el/Alteratioq�_ Renovate <br /> PROPOSED WORK (describe in detail) : <br /> . <br /> STORIES: gQ- FEET OF EACH FLOOR./ <br /> GARAGE STALLS: ATT. DET. <br /> NO. OP BEDROOMS: _ <br /> ESTIMATED CONSTRUCTION VALUATION (eYCl.udipq <br /> land) : $ zc/ <br /> I hereby apply for a building permit and T acknowledge that the information <br /> above is complete and accurate; that the work will be in conformancewith <br /> ordinances and codes of the CiY and with the State building <br /> understand this isnot a permit and with the approved plan s not to start without a permit; and <br /> that the work will be in accordance / <br /> `/ DATE z <br /> ,APPLICANT'S SIGNATURE: <br />