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SeF ' 1.6 z008 4: 56PM HP LRSERJET FRX p, 2 <br /> „ � <br /> � � .�� ��L <br /> � . � � � y�'� <br /> ��s <br /> -7� � f <br /> $ r , � ��4���. <br /> Total Fee: � Date Received• "� "�-��� <br /> Entered By: Permit#: (;�;. <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All infurmation must be submitted in full before plan review will be started. <br /> (please prtnt all iafor�»ation) <br /> THE APPLICANT IS: (crrcle one) OWNER OR ONTRACTOR <br /> JOB SITE ADDRES5: 2755 Ethel Avetwe �p, 55391 <br /> WiU this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes,a special event perrnit is required with Poliee Dep�artment and City Council approva/ <br /> 60 days priar to the event. Shuttle bus service wil!be�equired unless applicant denronstrates <br /> su�''icient on-site parldng is available. Non permitted everzts will not be uJlawed. <br /> NAME OF OWNER: David Copeland PHONE: (home) �612�$12-S161 <br /> (work) <br /> MAILING ADDRESS: �517 W.Franklin CI.I.Y� Minneapolis ZIP; 55405 <br /> CONTRACTOR: Northrup R,nofing�Remodeling pHp�: (612)825-3353 <br /> CONTACT PERSON: Mark D.Wt�ite MOBILE/PAGER: (612)3665619 <br /> MAILING ADDRESS: 4400 Nicollet Avenue S. Cj'rj�; Mnneapolis <br /> STATE LICENSE: # 20336963 ZIP: ss4�9 <br /> EXPIItATION DATE: 03/31/09 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGI5TRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Horne Remodel/Alteration(ie: Siding, Windows) ✓ <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detai�: Remove and Replace Asphlat Roof <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 2>soo.00 <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accuraie; <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 /> APPLICANT'S SIGNATURE:yG�� DATE; (-�� �d� <br /> 31 <br />