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\� � <br /> � � <br /> �j� <br /> \ <br /> V-: . <br /> Total Fee: $_ Date Received: <br /> Entered By: Permit#: <br /> CITY �OF ORONO - BUILDING PERMIT APPLICATION <br /> All inform:�tion must be submitted in full before plan review will be started. <br /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- �- ----__� <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR .? <br /> JOB SITE ADDRESS��J� CCI.SCO G � C,I ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO /fyes, a special event permit rs 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 /> su�cient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNElE2: ���� iV(��� PHONE: (home) �Sa- �- - �'��(p <br /> (work) <br /> MAILING ADDRF.SS: � CITY: ZIP: <br /> Renewal By Andersen <br /> CONTRACTOR: 1920 County Road "C" West _PHONE: <br /> CONTACT PERSON: Roseville, MN 55113 AGER: <br /> MAILING ADDRF,SS: _ 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: �pU(' (.t1?�� <br /> , . , <br /> � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED COPISTRUCTION VALUATION(excluding land): $ y, 3l a � <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 permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'SSIGNATURE: DATE: O��JUI U <br /> 31 <br />