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. � . <br /> V`� Total Fee: $ Date Received: <br /> � Entered By: Permit#: <br /> � CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> \ <br /> �" �� All 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 OR CONT <br /> JOB SITE ADDRESS: �3 B �-����a� �(��v�' ZIP: ����� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ No If yes, a specia!event permit is required with Police Department and Ciry Council approva! <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> suffcient on-site parkin is available. Non-permitted events will not be allowed. <br /> �,� '�� � � <br /> NAME OF OWNER: �V►'�G PHONE: (home) o�• � y y�9a <br /> (wark) <br /> MAILING ADDRESS: � CITY: ZIP: <br /> CONTRACTOR: Renewal By Andersen pHONE: <br /> 1920 County Road "C" West <br /> CONTACT PERSON: , AGER: <br /> MAILING ADDRESS: Roseville, MN 5�11� ZIP: <br /> — License #20130983 <br /> STATE LICENSE: # 65 l-264-4777 DATE: <br /> ARCffiTECT/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 detain:?►�,n�(',�C1J s � nY'�C�.U��� C.-���✓1 <br /> ��;S�r�-, o�Rem��J- <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 0� D 3� � <br /> ( 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 1 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: G�►'�–� DATE: �+ D� <br /> 31 <br />