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- . �V <br /> QI (� � <br /> �\ 1�.Y <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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O NTRACTO� <br /> JOB SITE ADDRESS: I �` o�� � '(��,�,( � ��� , ZIp; <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO /fyes, a specia!event permit ls 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 /> su�cient on-site parking is crvailahle. Non-permitted events will not be allowed. <br /> NAME OF OWNER: ��,C1L. �(��y,�,,� PHONE: (home)�1 �- --()d/� <br /> (work) <br /> MAILING ADDRESS: � CITY: ZIp; <br /> CONTRACTOR: Renewal By Andersen <br /> 1920 County Road "C" West _PHONE: <br /> CONTACT PERSON: Roseville, MN �5113 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 may re uire MCWD review and permits ! <br /> PROPOSED WORK(describe in detain: o Lu-�n A A> � c� �,'✓� <br /> �? r��� � v�. n �M '�Y�Oa�p <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �� a�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 ofthe 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 /> APPLICANT'S SIGNATURE: «V DATE: � <br /> 31 <br />