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� r�� <br /> �� <br /> �. <br /> \ <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 APPLICAN7' IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ��O�J ��OW N C�� , c� , ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO Ifyes, 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 /> su�cient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: �Q,((v� CY�(��-�in�(� PHONE: (home)��o�f�7✓ 3(�[��4� <br /> (work) <br /> MAILING ADDRESS: � CITY: ZIP: <br /> Renewal By Andersen <br /> CONTRACTOR: 1920 County Road "C" West PHONE: <br /> CONTACT PERSON: Roseville, MN SS l 13 AGER: <br /> MAILING ADDRF;SS: _ License #20130983 ZIP� <br /> STATE LICENSE: # 651-264-4777 DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRF,SS: 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 moveme t may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detain: �Q,Q�,CD 3 1 ;,�j Y�(�,L�S C�f��r-� <br /> .QJ7C��� (`�, C_����f�.4�, <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> [.j Q � <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ I��""� 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 of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not to start without a perrnit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: DATE: C� <br /> 31 <br />