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0 <br /> « RECEIVED <br /> MAY 1 4 2007 <br /> Total Fee: $ /4 Date Received: CITY OF ORONO <br /> Entered By: ) .) Permit#: pt O q 44, <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 CONTRACTOR <br /> JOB SITE ADDRESS: 4345 Watertown Road Orono MN ZIP: 55359 <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes [ No If yes, 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 will not be allowed. <br /> NAME OF OWNER: Don Pearson PHONE: (home) (952)473-6864 <br /> (work) <br /> MAILING ADDRESS: 4345 Watertown Road CITY: Orono ZIP: 55359 <br /> CONTRACTOR: Right-Way Roofing PHONE: (763)557-8678 <br /> CONTACT PERSON: Scott Voves MOBILE/PAGER: (612)747-3494 <br /> MAILING ADDRESS: 14050 23rd Avenue North CITY: Plymouth ZIP: 55447 <br /> STATE LICENSE: # 3999 EXPIRATION 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 may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): Roof replacement on house and garage <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Cp L7 LD <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 d 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: /44' DATE: G11010 <br /> 31 <br />