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. � <br /> V1 <br /> . � <br /> . Total Fee: $ � Date Received: <br /> � Entered By: � Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Atl 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 O ONTRACTOR <br /> JOB SITE ADDRESS: lU� g; � J3� I <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO Ifyes, a specia!event permit is reguired 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 availa, le. Non-permitted events will not be allowed. <br /> � <br /> NAME OF OWNER: Z� �� � ��PHONE: (home) /J� ' I �l- �� <br /> work � <br /> � ) <br /> MAILING ADDRESS: CITY: ZIP: <br /> Renewal By Andersen <br /> CONTRACTOR: 1920 County Road "C" West PHONE: <br /> CONTACT PERSON: Roseville, MN 55113 AGER: <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 moveme t ma require MCWD review and permi s ! <br /> PROPOSED WORK(descr'be in detain: � G�� L � 6���, (�-�,✓� <br /> '7C 5 <br /> STORIES: SQ.FEET OF EACH F OOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �� <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 a d 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: TE: <br /> 31 <br />