Laserfiche WebLink
Metadata
Document management portal powered by Laserfiche WebLink 9 © 1998-2015 Laserfiche. All rights reserved.
: . � �ilY_ � <br /> � <br /> Total Fee: $ �� �S 1`�ti�� Date Received: //-a/DJ� <br /> Entered By: Permit#: ���3 <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 /> 'I'HE APPLICANT IS: (circ[e o�ie) OWNER O O�C NTRACTOR <br /> , � , -- <br /> JOB SITE ADDRESS: , ' ',` ''� � ZIP: <br /> Wilt this be a Parrade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ,_m No If yes, a special event permit is required with Police Department and City <br /> Council approva160 days prior to the event. Non permitted events will not <br /> be allowed. <br /> NAME OF OWNER: / / <br /> /' � ,/ I <br /> �`��� �f�%�')L� � PHONE: (home)���- ��'� � <br /> —T--�--�- <br /> (work) <br /> MAILING ADDRESS: �L�.r1!I�- CITY: ZIP: <br /> �t�LA ROC)�'ING & REMODELIiVG. ���?� / �� �/ <br /> CONTRACTOR: PHONE: C� ���u��'�—t .(�' <br /> CONTACT PERSON: � ° ST. LOUIS PARK, MN 554��►'IOBILE/PAGER: 2 � s <br /> MAILING ADDRESS: �D�Q00105o CITY: ZIP: <br /> STATE LICENSE: # <br /> '�i�U'� i����INU c� i�EMUUE��iVG. ;� .+ <br /> ARCHITECT/ENGINEER: _ *���X������� ��v���HONE: <br /> MAILING ADDRESS: ST. (�1115 PARK. MN �i�: ZIP: <br /> NAME: oD#000105o REGISTRATION # <br /> TYPE OF WORK: New Accessory Structure <br /> Addition �Tove <br /> RemodeUAtteration Land Alteration <br /> ,,,,. <br /> PROPOSED WORK(describe in detai�: � �� �, �1? � (,�,�' �' <br /> , . , <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION excludin land : $ <br /> � g ) —� �� '. / <br /> I hereby apply for a building permit and I aclrnowledge that the information above is complete and accurate;that the <br /> work will be in conformance with the ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and that the work will be in accordance with <br /> the approved plan. �, .. <br /> ��� <br /> � <br /> APPLICANT'S SIGNATURE� ,�'� /L DATE: <br />