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�.� .� �_ v <br /> Total Fee: $ Date Received: � <br /> Entered By: � Perm.it#: �'0 3 7�r � <br /> CITY OF ORONO - BUILDING PERMIT A.PPLICATION , <br /> ► <br /> . ; <br /> A,.11 in.formation must be submitted in full before plan revietiv w-ill be started. . <br /> (please print all information) . <br /> � � -- - - --�-- ---- <br /> 1'HE A,PPLICAI�'T IS: (circle one) OtiVNER CONTRACTOR <br /> 2 � ZIP: _ � S � � � <br /> JOB SIT'E ADDRESS: l J ��l'tl�.(� 5-�- � I. <br /> NA11�iE OF Oti�'ER: �a'c�X\ ��ti1,s� PI30NE: (home) 95Z-�1 ZZ - �`�Z Z �p <br /> (work) <br /> i�iAILING ADDF.ESS: CTTY: ZIP:_______ <br /> SELA ROOFINfa & REMODELING, II�It. <br /> 4100 EXCELSIOR BLVD. �' <br /> COi�1'IRACTOR: ST. LOUIS PARK, MRI 5541F pgQ�; C�l Z` �z � - �5�`' `��o <br /> CO�I'I'ACT PERSO�: MOBILE/PAGER: <br /> MATLTtii'G ADDRESS: CITY• ZTP: <br /> STATE LICE�'SE: #� /"CU 5 b � <br /> ARCHITECT/ENGINEER: PHONE: . <br /> MAILItii'G ADDRESS: CITY: ZIP: <br /> �TAME: REGISTRA.TION# <br /> C'��..� <br /> TYPE OF tiVO�New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration _ /�( 5� <br /> � (�� V��- � c���c <br /> PROPOSED�'YORK( escribe in detai�: e �� .� <br /> c�1- � C( , � ,� � � < <`Q--�� <br /> ;az�-� ����r v p <br /> STORIES: SQ.F'EET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT• DET. � � . <br /> � <br /> EST .Tl�i TA'I'ED CONSTRUCTION VALUATION (excluding land): $ / t/ �� r �.� <br /> I hereby apply for a building pernut 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 Ciry and with <br /> the State Buildi.n� Code; that I understand this is not a permit and work is not to start without a <br /> pernut; and that the work will be in accordance with ihe approved plan. <br /> � <br /> � ' a�: 5� 2� d ( <br /> APPLICA.I�'T'S SIGNATUitE• ` � <br /> � r d H m events require separate permit approval by Police Department and <br /> NOTE. �R � <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />