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� � <br /> � �.o� <br /> �- <br /> Total Fee: $ �� '�l. f�O Date Received: ��j�j�� � <br /> Entered By: �— Permit#: �DO�—�.S�o <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (p[ease print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER O -CONTRACTO <br /> 2715 Cout side Drive � 55356 <br /> JOB SITE ADDRESS: '� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YCS ❑✓ NO lf yes, a special erent permit is required i+�i�h Po/ice Department and City C,o:tncil app��oral <br /> 60 days prior to the event. Shuttle bus service wi//be required rrnless applrcant demonstyates <br /> s�sffcient on-site parking is m�ailable. ,�'on-permi�ted events ivill not he allowed. <br /> NAME OF OWNER: '�ark Wi�son PHONE: (home) <br /> (work) <br /> MAILING ADDRESS: ��is Countryside t�rive CITY: orono Zjp. 55356 <br /> CONTRACTOR: stonewood Renovation PHONE: (952)697-5075 <br /> CONTACT PERSON: �onn�aiy MOBILE/PAGER (6�z��3o-�s3� <br /> MAILING ADDRESS: 7404 Wayzata blvd CITY: Minneapolis ZIp; ss4z6 <br /> STATE LICENSE: # Bc-zos3asa� EXPIRATION DATE: o3i3 vo9 <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(deseribe in detai�: x;tohep R�modei. A�i�nterio�Work <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ "���o o v <br /> [hereby apply for a building permit and 1 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 and work is not to start without a permit;and that the work will be <br /> in accordance with the approved p(an. .- � <br /> , <br /> � <br /> APPLICANT'S SIGNATURE: � DATE: o9i22ios � <br /> i� <br /> � <br /> 31 <br />