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gm v dd--rl.v,l 1!/ va/�'t'/ ,V 1`t WU L_1' . J /tsa ritr ee <br /> 0 <br /> *Total Fee: $ ' -7° Date Received: <br /> Entered By: ... 3/1Z/02_ Permit#; f c(f. `T <br /> �— <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> AU Information mast be submitted in hull pefore.plan review will be started. <br /> (please print all irrjbnnation) <br /> THE APPLICANT IS: ~^(circle one) OWNER OCOAIT CTOIt <br /> JOE SITE ADDRESS: aQLaS__l a.ett2t.. \\s ZIP: 5539 I _ <br /> NAS OF OViINER: L PHONE: (home)NA, <br /> h%NA, 1013-ei3a5•(d1y <br /> (work) <br /> MAII;ING ADDRESS: 1` �1�/a/l■■ /�pp�� • <br /> CY i 6• O <br /> CONTRACTOR: PELLA WINDOWS&DOORS <br /> 15300-25TH AVE.N. STE.#100 `J 7 <br /> CONTACT PERSON: PLYMOUTH,MN 55447K <br /> MAILING ADDRESS: 763-745-1400 ylp; /(/ <br /> LICENSE#20165884 — X <br /> 'STATE LICENSE: # <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): �Q <br /> �.Ift'►_ OC�x�. • <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $• <br /> 1 <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 codes 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: DATE: <br /> NOTE! Parade of Rome; 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 /> £/Z 04 <br /> m._- e n Wd90 l l �Z001 ' ZZ uer <br /> n.. _ t <br />