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Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTO <br /> JOB SITE ADDRESS: 6P s �� /� ZIP: <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No /P If yes, a special event permit is required with Police Department and City <br /> 0&dcouncil approval 60 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: G�-1yJ 1� �� `C� PHONE: (home) <br /> 3 7v l o3 <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: SELA ROOFING&REMODELING,INC. PHONE: <br /> CONTACT PERSON: ST, I QUIS RAIRK, MN 5 {BILE/PAGER: 42(Z '2-q 0 7 ;8 :Z5 <br /> MAILING ADDRESS: ID#0001050 CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: WJ A RMEING& REMODELING, IN(PHONE: <br /> MAILING ADDRESS: 4100 EXCELSIOR BLMTY: ZIP: <br /> NAME: ST.LOUIS PARK, MN fffiftSTRATION# <br /> lu MOD!050 <br /> TYPE OF WORK: New Accessory Structure <br /> Addition Move <br /> Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): ' <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ � C) <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permi ;and that the work will be in accordance with <br /> the approved plan. <br /> APPLICANT'S SIGNATURE% � DATE: ��� <br />