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.,�'" <br /> � <br /> ` • ' Total Fee: $ �.��• a-3 Date Received: G�-���-� � <br /> ' Entered By: _ , Permit #: ��a�j�'� <br /> CITY OF ORONO - BUILDING PERI�TIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all inforrnation) <br /> ----------------------------------------------------------------------------- ------------------------ <br /> _-_-----_. - --- - <br /> THE APPLICANT IS: (circle one) OWNER O�CONTRACT R <br /> JOB SITE ADllRESS: 4755 Bayside Road ZIP: <br /> Orono, MN <br /> NA.1�IE OF OWNER: Allen Friedland PHONE: (home) <br /> (work) <br /> NIAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR: Rudy Wicklander Homes , Inc. PHON'E: 763-422-9192 <br /> CONTACT PERSON: Rudy NIOBILE/PAGER: <br /> MAILING A.DDRESS: 15 4 4 0 Potawatomi St. CITY� Andov r ZIP: �5�0 4 <br /> STATE LICENSE: # 13 8 8 <br /> ARCHI'CECT/ENGIN�ER: PHONE: <br /> MAILI�G ADDRESS: CITY: ZIP: <br /> NA.1�I�: REGISTRATION# <br /> TYPE OF �VORK: New x Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK (describe in detain: <br /> STORI�S: SQ. FE�T OF EACH FLOOK: <br /> NO. OF BEDROOi�IS: GARAGE STALLS: ATT. DET. <br /> ESTIi�IATED CONSTRUCTION VALUATION (excluding land): $as�, 000 <br /> I hereby apply for a buildin� permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE��Z,���d�' . DATE: S'Zd -DD <br /> NOTE! Parade of Homes events require separate permit approval by Police Departntent and <br /> City Council 60 days prior to the event. No�a permitted events will not be allowed. <br /> 9 <br />