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Total Fee: $ 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 /> (please print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 4470 Forest Lake Landing Z�: 55364 <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 City Council approvad <br /> 60 days prior to the event. Shuttle bus servdce 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: Steve and 7ennie Prawer PHONE: (home) (952)546-5292 <br /> (work) (�63)571-4000 <br /> MAILING ADDRESS: g313 W.Franklin Ave CITY: St louis Park ZIP� 55426 <br /> CQNZ'j�C'j'QR: Coty Construction&Remodeling Pg��i ; (952)934-7600 <br /> CONTACT PERSON: Patrick Cory MOBILE/PAGER: (612)599-8387 <br /> MAILING ADDRESS: 5716 Glen Ave CITY: Minnetonka ZIp; 55345 <br /> STATE LICENSE: # 20431519 EXPIRATION DATE: 03/31/08 <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�: Reroof-Tear-off - Wood Handsplits Shakes - House&Garage <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 16,a2�.00 <br /> I hereby apply for a building permit and I acknowledge that the in rmation above is complete and accurate; <br /> that the work will be in conformance with th�ordinances n odes of the City and with the State Building <br /> Code;that I understand this is not a permitand work is st rt without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> _______. <br /> � <br /> APPLICANT'S SIGNATUR�: � DATE: o3iz�ios <br /> "� / <br /> \ <br /> 31 <br />