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1 <br /> 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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: I n TO I C� W C( C� ZIP: `J^�j `j to <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes [5'N-o Ifyes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non permitted events willViof be allowed <br /> f, s) <br /> NAMEOF OWNER: DO U W C '111"m s PHONE: (home) q71 - 67?0 <br /> (work) <br /> MAILING ADDRESS: t 0 A 0 Tp i4bt46 )?d Crry: 01'b A-0 ZIP: <br /> RENEWAL BY ANDERSEN <br /> CONTRACTOR: 1920 COUNTY RD. "C" WEST _PHONE: S� S-G D y1 <br /> CONTACTPERSON: _ ROSEVILLE, MN 55113 ?AGER: jaclt m ldfr >>C <br /> MAILING ADDRESS: . 651-264-4777 ZIP: <br /> STATE LICENSE: #_ LICENSE#20130983 v DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) �-- <br /> Any earth movement Two <br /> require MCWD review and permits! <br /> PROPOSED WORK describe in detai b t d pD d/) W I/V6 1i <br /> e Q �t1 sov n S <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ L117 3 O <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: S� v <br /> 31 <br />