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• ' 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 OR CONTRACTOR <br /> '� � � � <br /> JOB SITE ADDRESS: � � � � /� -� • 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 <br /> Council approva160 days prior to the event. Non permitted events will not <br /> be allowed. <br /> � �rI <br /> NAME OF OWNER: �� �j � �� �� � � V j� �����HONE: (homeX�`�"��`�==`C <br /> (work) <br /> MAILING ADDRESS: �j /� CITY: ZIP: <br /> SEU�ROOFING& REMODELING, iIVC / <br /> CONTRACTOR: 4100 EXCELSIOR BLVD. PHONE: ��� �b �--� �.� <br /> CONTACT PERSON: ST. LOUIS PARK, MN 5541F MOBILE/PAGER: 2�(� 7�Z s <br /> MAILING ADDRESS: 5� CITY: ZIP: <br /> STATE LICENSE: # <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition 11�Iove <br /> RemodeVAlteration Land Alteration <br /> PROPOSED WORK(describe in detai�: r / � C�!'�-�- � <br /> ��� �� � i� � ����� S �-- � � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTINIATED CONSTRUCTION VALUATION (excluding land): $ �J ���o� <br /> I hereby apply for a building pernut and I acknowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a pernut and work is not to start without a pernut; and that the work will be in accordance with <br /> the approved plan. <br /> . � !�'�� /�' 2- (� <br /> APPLICANT S SIGNATURE: ��- DATE: �` I <br />