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� &-trawIV V71694I7® � :We/v.) <br /> ToUl Fee: Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO BUILDING PERMT "PLICATION <br /> All Information must be submitted in full Afore plan review will be started. <br /> (please print all Information) <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR <br /> ----------------------- <br /> JOB SITE ADDRESS: <br /> NAME OF OWNER: �o���- l�.c�`S.� PHONE: (home)_`�S a•y�S<9� o��U <br /> (work) <br /> MAILING ADDRESS: ~ CITY: <br /> ZIP.- <br /> CONTRACTOR: <br /> 1P;CONTRACTOR: PELLA WINDOWS&DOORS <br /> CONTACT PERSON: 15300-25TH AVE.N. STE.#100 <br /> PLYMOUTH,MN 55447 <br /> MAUING ADDREM., 763-745-1400 ZV: <br /> STATE LICENSE: # LICENSE#20165884 <br /> ARCIII'I'ECIAENGIMEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAIA: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): fl�o, fl � , r•� , - �� <br /> STORIES: SQ.F'EE'T OF EACH FLOOR: <br /> NO. OF BEDROOMS: - GARAGE STALLS: ATT. DET. <br /> ES`I'IMATiED CONSTRUCTION VALUATION (excluding hand): k-_ (D nncCP <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 rpodes 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: A ,2_ DA`IE: � . <br /> NOTE! P e yIo, � events require separate permit approval by Police l2epatftent and <br /> City Council 60 days prior to the event. Non pennitted events will not be allowed. <br /> Raroive,l Ti C Dd 1 . ADD1! <br />