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( `r <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 CONTRACTO� <br /> JOB SITE ADDRESS: S'�bS� �l�SC/� /Qf��- 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 Council approval <br /> 60 days prior to the event. Shuttle bus service will be reguired unless applicant demonstrates <br /> su�cient on-site parking is available. Non permitted events will not be allowed <br /> NAME OF OWNER: �i��'G'/� (�Cr,sO(/jT "Z PHONE: (home) 7/� �7� <br /> (work) <br /> MAILING ADDRESS: �G S(� Cl�SL�,�/�ITY: ZIP: �535/ <br /> CONTRACTOR: SELA ROOFING & REMOD�LING, ���p�; �lS� 7�,ZG <br /> CONTACT PERSON: �,✓ `v ��/PAGER: <br /> MAILING ADDRESS: � ' h�i�I�"�:�'� ZIP: <br /> STATE LICENSE: #�J�},�� TtATION DATE:��� ] <br /> �E� ROOFlNG & REMO�ELINC�, s <br /> ARCHITECT/ENGINEER: 4100 EXCFi �����HONE: <br /> MAILING ADDRESS: �T� LOUIS PARK, MN �'d���� ZIP: <br /> NAME: �7 �OooinSnREGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration(ie: Siding, Windows) <br /> PROPOSED WORK(describe in detai�: ��� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $��y��'�fs <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the wark 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 permit;and that the work will be <br /> in accordance with the approved plan. <br /> / . <br /> APPLICANT'S SIGNATLJRE: ��,.�.G. ,( ATE: .� 4'G <br /> � o.--- <br /> 31 <br />