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+.$ ii ari�vvv m, w m.tr aVF Il/ U7041f/7o I'F9vv .U4/U.) NU;)4e <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO v BUILDING PERMIT APPLICATION <br /> AU information must be submitted in full furore plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR w �� <br /> ,TOE SITE ADDRESS: QOIoS N\\\S c / ZIP: SS 39 I <br /> NAME OF OWNER: ,e. tc L \-c PHONE: (home) al, I e5•(c4J y <br /> (work) <br /> MAILING ADDRESS: _ CITY: ZIP: <br /> CONTRACTOR: PELLA WINDOWS&DOORS <br /> CONTACT PERSON: 15300-25TH AVE.N. STE.#100 <br /> PLYMOUTH,MN 55447 <br /> MAILING ADDRESS: 763-745-1400 ZIP: <br /> 'STATE LICENSE: N LICENSE#20165884 <br /> . ARCHITECT/ENGINEER: 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 WORK(describe in detail): <br /> 09-kji ,Nake • <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ p�i �' D <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 odes 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 pian. <br /> APPLICANT'S SIGNATURE: i .. DATE: a J —)ok, -O a••- <br /> NOTE! Paine of Hopes 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 /> Poroilf8A T;M C- . 04 1 , At)D11 <br />