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�_ ��/ �`° ` �� <br /> , � � , <br /> � � <br /> • �� <br /> � Total Fee: $ <br /> _ � Date Recerved: <br /> Entered By: \� permit#: <br /> "\ <br /> / CITY �OF ORONO - BUILDING PERMIT APPLICATION <br /> �- J v <br /> \ �� All mformahon must be submitted in full before plan review will be started. <br /> ��y (please print all irtformation) <br /> -------------------------•----------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: ��� C u �Y���" �GL.C�Q„ ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No lfyes, a special event permit is required 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 available. Non-permitted events will not be allowed. <br /> NAME OF OWNEI[t: �(x,� , �, b-Q,(��('O'� PHONE: (home)IG(��'Q'�[/l'" J�� <br /> (work) <br /> MAILING ADDRF:SS: CITY: ZIP: <br /> Renewal By Andersen <br /> CONTRACTOR: 1920 County Road "C" West PHONE: <br /> CONTACTPERSON: Roseville, MN 5�113 AGER: <br /> MAILING ADDRESS: _ License #20130983 ZIP: <br /> STATE LICENSE: # 651-264-4777 DATE: <br /> ARCHITECT/ENC.INEER: PHONE: <br /> MAILING ADDRF;SS: 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 may require MCWD review and permits ! <br /> PROPOSED WORK(describe in detain: ' <br /> . <br /> � . <br /> STORIES: _ SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> CaU <br /> ESTIMATED COI�(STRUCTION VALUATION(excluding land): $ �', ga 3 `— <br /> 1 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 ofthe 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 /> APPLICANT'S SIGNATURE: ATE: �� <br /> 31 <br />