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; ' , . / ,'"t <br /> l�- <br /> . �/��� <br /> Total Fee: $ /02 49 g. �� Date Received: �"Z��g <br /> Entered By: Permit#: A �I q3� <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 /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB siTE Avn�ss: Z�os Fo� S�.,T zir: 5535� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes �No If yes, a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non per»aitted events wil!not be allowed. <br /> NAME OF OWNER: M,c,,�a� 4 Br'R�r I�r�aNc�S PHONE: (home) <br /> (work)(v I 2.l09!�.Z8Z2 <br /> MAILING ADDRESS: 2°►°1S 1.�f47�ZTokJ�l RD. CITY: �RoNo ZIP: 5535b <br /> __._.w_._,..______..--._., <br /> 1 CONTRACTOR: S�Tt���,T�2 ? AS5oGu4i�5 �NC. PHONE: 95Z-y�9.S74lo c-� I 16 <br /> �, CONTACT PERSON: �T }�q�s � MOBILE/PAGER: (012.$01.9$l9 <br /> .` <br /> MAILING ADDRESS: I S�J I Z MINNETOhIKA B�-vD. CITY: W�+ ZA ZIP: 553�� �t <br /> STATE LICENSE: # � 3 �(j EXPIRATION DATE: 3 ► 0; -z--% '��t' '�� ;`�^ N�� <br /> ARCHITECT/ENGINEER: M�'EFSKI CooK/-4F2GN11LU�5� INC. PHONE: �3�1. 83S.7o�31 <br /> MAILINGADDRESS: 71(a VEKNo�! AvE, CITY: G��.ICA�, IL ZIP: (oOpZZ <br /> NAME: �ON►J W• MYEFSk.I REGISTRATION: # Z012Z <br /> �'Y TYPE OF WORK: New Home Addition � Accessory Structure <br /> �0 <br /> ( Move Home RemodeUAlteration(i.e.: Siding,Windows) � <br /> � **A��y eczrtl� move�rtent ry1a��require MCYVD Revietiv and Permit! <br /> � PROPOSED WORK(deseribe in detai�:TME PRa�Eu-ee�r�s�srs oF� 2-S�aRy GARAG�W�nICi A�ilo�l�oveR�D FRorh- <br /> \�� ENTR.y F�Rc.�l ADDinorJ, P-E#ZSc.REF,N�U PoRU�1 RDDinorl � (ZF1�IovA7)a�1 oF �isn�-k 2-staR.�/ R.F--S�DErcGE. <br /> � r ��4bnNC�-�% y3�0 S•F• <br /> STORIES: 2 SQ.FEET OF EACH FLOOR: NE1�.("'� I°I00 5•F• <br /> NO. OF BEDROOMS: �3 GARAGE STALLS: ATTACHED 5 DETACHED O <br /> j/' C ��, ci.'` r x `.a�. 4./„ ;� - <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ �, c� �� �,. , !:�. `^`� <br /> ,�—� <br /> 1 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 plan. <br /> APPLICANT'S SIGNATURE: • �� ' � %---� DATE: .� a� �� <br /> 31 <br />