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6o <br /> ( \°\1 <br /> Total Fee: $ �(�(` Date Received: <br /> Entered By: �✓" Permit#: <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 04 CONTRACTOR <br /> JOB SITE ADDRESS: •. meati/111 t 0 ZIP: 5539 ) <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> Yes n 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. j /� <br /> NAME OF OWNER: 811 <br /> PHONE: (home) f J 0- vl��9` <br /> -��- (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> Renewal By Andersen <br /> CONTRACTOR: 1920 County Road "C" West PHONE: <br /> CONTACT PERSON: Roseville, MN 55113 AGER: <br /> MAILING ADDRESS: _ License #20130983 ZIP: <br /> STATE LICENSE: # 651-264-4777 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 ma require WD review, and permits! <br /> PROP ED WORK(describe in etail):6ke.! i k.A it A A <br /> �� ( • <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> 07- <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ C �0 <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 perm' and work is • • start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ,,I. j ���` � 1.10, 11, q3.0\-0 651 <br /> 31 <br />