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��,j � I.�o; �6�o.yS <br /> � , --- <br /> �`� G <br /> \ �� ,� <br /> �j Total Fee: � �d�• 7.S '''`�� Date Received: ���— �� <br /> �� Entered By: � Permit#: ,�,[�i �.D / <br /> � <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print a[!information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> _.... <br /> f-----�_ <br /> THE APPLICANT IS: (circle one) OWNER O CONTRACTOR� <br /> JOB SITE ADDRESS: S �� � 1� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO Ifyes, 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 OWNER: m � (�,Y\�`1'�- �� l` v��PHONE: (home) -/�. �• ` y�� <br /> �� (work) <br /> MAILING ADDRESS: I CITY: ZIP: <br /> Renewal By Andersen <br /> CONTRACTOR: 1920 County Road "C" West PHONE: <br /> CONTACT PERSON: . ^- ^ AGER: <br /> Roseville, MI� »11� <br /> MAILING ADDRESS: _ [,icense #20130983 ZIP: <br /> STATE LICENSE: # 651-264-4777 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 /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK deseribe in detain: � (�� <br /> . <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding 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 without a permit;and that the work will be <br /> in accordance with the approved pla . <br /> APPLICANT'S SIGNATU ���DATE: � l/r`..Q �� <br /> 31 <br />