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� <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 APPLICANT IS: (circle one) OWNER OR ONT OR <br /> JOB SITE ADDRESS: �� J� ���CO��".�� , ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO Ifyes, a specia!event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service wil!be required unless applicant demonstrates <br /> sufficrent on-site parking is avuilable. Non-permitted events will not be allowed. <br /> NAME OF OWNER: �(��lYl, �`(1� i S PHONE: (home)�� I—�3�� <br /> (work) <br /> MAILING ADDRESS: � CITY: ZIP: <br /> Renewal By Andersen <br /> CONTRACTOR: 1920 County Road "C" West PHONE: <br /> CONTACT PERSON: � AGER: <br /> Roseville, MN 5511� <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 detai�: d� <br /> n t � <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): � �,�_y r <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 Ciry 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'S SIGNATURE: ATE: I L D� <br /> 31 <br />