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Total Fee: $ j Date Received: hd'/7 L) <br /> Entered By: �-- Permit#: 4693/0 <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) OWNE OR CONTRACTOR <br /> JOB SITE ADDRESS: 04405 WA Y%A'0� 01W V• ZIP: <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 /> NAMEOFOWNER: W-IM FYopey+if* LLC. PHONE: (home) <br /> Ate' t Morrie wa9ev%er (work) <br /> MAILING ADDRESS: 12.5 Zo SWA CITY: W ILA ZIP: SS3d 5 <br /> MN <br /> CONTRACTOR: Owv►er PHONE: <br /> CONTACT PERSON: MpVyiP, kj& t w MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: S+#VeV% F►"% �N" PHONE: `14544 -%S3.5 <br /> MAILINGADDRESS: 4959 01$oh I►►UM Nw!d CITY: Mals. MN ZIP: S 22 <br /> NAME: Sfevt" Fi 4.htc I REGISTRATION: # 1 CO <br /> TYPE OF WORK: New )C Addition Accessory Structure <br /> Move Home Remodel/Alteration <br /> PROPOSED WORK(describe in detail): CowOryt't ,So'x 100' $ yyy0.!5 , J;tA a. <br /> P1recowr w^u-y . Vye.1 "of, cev,e b. fleby <br /> STORIES: I SQ.FEET OF EACH FLOOR: 5000 <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ I ZS j tT*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 /> WS <br /> APPLICANT'S SIGNATURE: DATE: os— <br /> L4 <br /> C.IV <br /> 31 <br />