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07/22/202 15: 15 952-935-9544 MINNESOTA RUSCO PAGE 01101 <br /> Total Fee: ' $ 3-�5 Date Received: 7-;Zg- X00 <br /> Entered By: Permit#: 10-5-413 7 <br /> CITY OF ORONO - BUILDING PERNUT 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 O CONTRACTOR <br /> JOB SITE ADDRESS: 9701 15 A4 ZdAt, III .- j�JJ <br /> NAME OF OWNER: 6 ` C &LL Doff kLiW I Q 2 PHONE: (home) 6Z• 1191. 1,Rgel <br /> (work) <br /> MAILING ADDRESS: _ , CITY:—0A,6", I19 ZIP: l <br /> CONTRACTOR: MN-f <br /> 15� e ' PHONE: <br /> CONTACTPERSON: MOBILE/PAGER: S 51141 <br /> MAILING ADDRESS: j2i57 2CR,/l1_ 1UG CITY: ZIP: 55�3q3 <br /> STATE LICENSE: <br /> ARCHITECT/ENGINEER: � �Q.: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORE; (desgribe in detail): U- Z 00(,s Qlkl *V0 <br /> (m 5fMA 0815 <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> I <br /> ESTINIATED CONSTRUCTION VALUATION (excluding land): S <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: o� Q <br /> NOTE! Parade of Mmes events require separate permit approval by ,Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> z <br />