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�--- -�gTY OF ORONO � 6124730510 09/24/96 14:00 � :02/03 N0:522 <br /> Ta�tal Fee: $ �`'� "� � Aate Received: ��! �� <br /> • Entered By: Permit�/: ��3� . <br /> CITY OF ORONO - BUILDING PERMIT APP�.,ICATION <br /> ' ?D00 <br /> At�ir��ormatlon must 6e subm{tted ia full before plan review will be started. <br /> � . (please print all i►tjormatton) _ �r <br /> � --------------=------------------------------------------------------------------------�__.-------------------------- <br /> THE APpLICAN'T I5: (circle one) OWNER OR CONTRACTOR <br /> ros sY� AnD�ss: �3\ CaSCo C'��cl-� z�r; 55��� ;� <br /> �, NAME OF OWNER: �..�,��cu, � 'Svdu, �d0�� PHONE: (home) �el a•�{�-)•C�C`�g� <br /> (worl�) <br /> MAILING ADIIRESS: 'Ja�1 C�SCo C;fC�2 CITY: �e�.pC��� ZTP: 5--�� <br /> CONTRACT4R: I RENE4JAL BY ANDERSEN ' . <br /> 350-73RD AVE. NE ��' - <br /> . COIVTAGTPERSON: rRIDLEY, MN 55432 ►ER: <br /> ' ' MAILIlYG ADI}�RESB: (612) 502-4777 Zjp: <br /> �6�'AT� LIGENSE: a LICENSE #20130983 <br /> . ARCHITF.CT/ENGINEER: P�iONE: <br /> MA�I.IIYG ADURESS: CiTY: ZIP: <br /> NAME: REGISTRATIUN� � <br /> TYPE OF' WORK: New Add'uion \. Accessory Structuro <br /> Movt Remodel/Alteratian� L,and Alteration <br /> PROPOS�D�VVORK(describe in detai�:`�e,a a.c�. y �'�v �p� ��RSe_� S i�o n1-e, <br /> 1.�.�' '�� • <br /> STORIES: SQ.FEET OF EACH FLOO�i: <br /> NO. OF HED�OOMS: GARAGE STALLS: ATT. DET. <br /> � <br /> FSTIMATED CONSTRUCTI4N VALUATION (excludfng lan�: $„ 3`�C� `" <br /> I h�reby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in confornnance with the ordinances and �odes of the City and with <br /> , ' the State Building Code; that I understand this is not a permit and work is not ta start without a <br /> permit; and that the work will be in accordance wfth the approved plan. <br /> APPLYCANT'S SIGNATURE:01���, DATE: • � •�� <br /> ND?'E! Parnd, e�nf Ho�� events requfre sepamte permit approval by Pollce Department and <br /> G1ity Coune�l 60 days prtor to the event. Non permitted eveRts will not be alYowed. <br /> Rer.aivarl �'imn Cnn 7A 1 •/I7Al�d Ari �1 Tim� C�n �d t . d7A�f <br />