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Ly :V10-1fV.5 Nu:)Ls <br /> Total Fee: S Date Iecoived: <br /> Entered By: 7 Permit*: ,� .5� � <br /> ,p . <br /> .�._._._..: <br /> CITY OF ORONO a BUILDING PERMU APIPUCATION <br /> All Information must lbe submitted in f dl J*fore.plan review wrlll be started. <br /> (Plese print all it bivatlon) <br /> THE APPLICANT IS: (circle one)' OWNER O CONT�ICTOR • <br /> JOB SITE ADDS: <br /> NAMX OF Overt: SO�nZ 1 e c -4N PKONH: (home) a.y�- Y a <br /> ( ) l� <br /> MG ADDRESS: CIff: ZIP; <br /> CONTRACTOR: PELLA WINDOWS&DOORS <br /> CONTAMMN. 75300-25TI4 AVE.N. STE.#100 <br /> PLYMOUTH,MN 55447 <br /> MAI1NG ADDRESS: 763-745-1400 ZlT: <br /> STAU, MC NSE: # LICENSE##20165884 <br /> A$CIVIECT/ENGIlN M: PHONE: <br /> bIAMING A.DIM MS: CITY: ZIP: <br /> Nom: RWJ3T"TaONr# <br /> TM OF WORK: Now Addition Acmsory SMACMm <br /> move model/Akeradon Land Alteration <br /> IPROPOSYE}'VYOItR(descrl6e In detail): ?, 1 r, A -Aloin Nb& <br /> SQ-FM OlEACHFLOOIs <br /> NO. OFBEDROOMS: GARAGE f*A& <br /> ATT. DEL np� <br /> B,STIMATED CONSTdi,'UCi1ON VALUATION(excluding land): $- (A i <br /> I hereby apply for a building'pormit anti I acknowledge that the information above ie complete knd <br /> accurate; that tine work will be in confohnance with the ordinances and poft of the Cirj and with <br /> the State Building Codd; that I understand rhos.is not a pennit and work is not to :tart without a <br /> permit; and that the work will be in accordance with the.approved plana <br /> APPLICANT'S SIGNATURE:62LDATM- <br /> NOTE! ia�g e�a�f�gg events require upgrok pence approval by lance Depot' wnt and <br /> C* Coftncll 60 dye prior to glee event. Non^permiffed events will not be allowed. <br /> Z ' d V£9E9 ' 0N+ T.— '7A I . A1)D1d �_ :_ i m; ._ r Wd9l : 01• ZOOZ ' [Z' A?N <br />