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\� <br /> , - � <br /> � ra <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 O CONTRACTOR , <br /> JOB SITE ADDRESS: _ J�� CG�-�CO ��Q , 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 Ciry 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. <br /> C�� ^ <br /> NAME OF OWNE]R: _ , l� �'�� �(��,��(/� PHONE: (home) !✓�'� -�"�J <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 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 require MCWD review and permits! <br /> PROPOSED WORK(describe in detain: �)�� <br /> ' i , <br /> STORIES: _ SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED COI�fSTRUCTION VALUATION(excluding land): $� _ <br /> 1 hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be ir� 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'SSIGNATURE: DATE: � 1 �L/Yl�� <br /> 31 <br />