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. .. <br /> RECEIVE� <br /> ` MAY 1 4 2001 <br /> CITY OF ORONO <br /> Total Fee: $ �- �� '� - �'�-� Date Received: <br /> Entered By: Permit#: !' i a � �/ `� <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print al[information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 2g00 Countyside Drive West,Orono,MN ZIP. 55356 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes Q No Ifyes, a special event permit is required wtth Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> suffrcient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: Greg and 7ewe1 vitas PHONE: (home) (952)449-9621 <br /> (work) <br /> MAILING ADDRESS: 2g00 Countyside West CITY: orono ZIp: 55356 <br /> CONTRACTOR: Peua w�naows ana Doors TwTc PHONE: (763)�as-iazo <br /> CONTACT PERSON: 7oyce Nazario MOBILE/PAGER: <br /> MAILING ADDRESS: 15300 25th Ave N,Suite 100 Cj'j'Y: Plymouth ZIP; 55447 <br /> STATE LICENSE: # 20165884 EXPIRATION DATE: 03/31/08 <br /> ARCHITECT/ENGINEER: N/A 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 /> PROPOSED WORK(describe in detai�: <br /> Replace 8 windows-same size openings <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 10,598.98 <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 and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> , �Pe���`�) osio2io� <br /> APPLICANT'S SIGNATURE: ti �, DATE: <br /> 31 <br />