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C,o'"��` <br /> '/ �' a.a�-�� <br /> Total Fee: $ 3 7Y�• 7 Date Received• <br /> Entered By: Permit#• <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (pletcse print all inf'ormatio») <br /> .. ..� <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR <br /> JOB SITE ADDRESS: 1 �, 7�p, � �j� <br /> Will this be a Parade of Homea, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No Ifyes, a special evenl permit is required with Police Deparhnent cmd City Council apprrnal <br /> 60 days pri or to the event. Shuttle bus service will be required unless r�pplicant demonstraces <br /> su�cient on-sfte parking is available. Non permitted ever2ts will not be allowed <br /> < � <br /> NAME OF OWNER: C,J�'� 1S `� � �1c,1-�,h PHONE: (home)��-��-(p-�J � <br /> �W�) <br /> MAILING ADDRESS: CITY: ZIp; <br /> Renewal By Andersen <br /> C4NTRACTUR: 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 �N DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAiLING ADDRESS: C�y; �p; <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Horne Remodel/Alteration(ie: 5iding, Windows) _� <br /> Any earth movement may req ire MCWD review and ermits! <br /> PROPOSED WORK(d�scribe in detai�: � �� � � ;�� <br /> � v.�-. _�n:.Y�O�"J . <br /> STORIES; SQ.FEET 4F EACH FLOOR: <br /> NO. OF BEDROOMS: GEiRAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(�xcluding 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 and work is not to start witt�out a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: O�.G� DATE: �Q'tC, O�' <br /> 31 <br /> z 'd 06T9frL9TS9 1IW213d Q B S f� Wd�O � iT LOOZ 9Z Ga� <br />