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� Total Fee: $ Date Received: /a-/�-l�� <br /> Entered By: Permit#: ��9��(0 <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <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 CONTRACTOR <br /> JOB SITE ADDRESS: 3424 East Lake Street,Orono,MN Z�: 55356 <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑ Yes Q No lf yes, a specia/event permit is required with Police Department and Ciry Counci/approval <br /> 60 days prior to the event. Shuttle bus service wi!(be required unless applicant demonstrates <br /> suffrcient on-site parking is available. Non permitted events will not be allowed. <br /> NAME OF OWNER: Thomas and Margaret Radke PHONE: �I]OIt10� �952)476-2243 <br /> (work) (952)928-3939 <br /> MAILING ADDRESS: 3424 East Lake Street CITY: Long Lake ZIp; 55356 <br /> CONTRACTOR: owner PHONE: <br /> CONTACT PERSON: Tom Radke MOBILE/PAGER: (612)802-6459 <br /> MAILING ADDRESS: 3424 East Lake Street CITY: Long Lake Zjp; 55356 <br /> STATE LICENSE: # EXPIRATION DATE: <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 /> PROPOSED WORK(describe in detai�: replacement of windows and front door,w�rise,ic <br /> STORIES: 2 SQ.FEET OF EACH FLOOR: no change <br /> NO. OF BEDROOMS: 4 GARAGE STALLS: ATTACHED ✓ DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ Z�; ��:% n�.,� �,v,,,,, ;.,a��+�t; � "'�. <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 d wo is not to starkvvithout a permit;and that the work will be <br /> in accordance with the approved plan.;��, <br /> APPLICANT'S SIGNATURE• / —� �� DATE: � �( �� <br /> 31 <br />