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, Tot�� Fee: $ �',.t � -^ �' Date Received: `/� - /� � `! � <br /> Entered By: ��,,� Permit#: �� ��=�.�j <br /> CITY OF ORONO - BUILDING PERNIIT 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: 2565 Dunwoodv Avenue ZIP: 55391 <br /> NAME OF OWNER: �,1,��w � �«ti�� IS���.� PHONE: (home) �7/-U S`t3 <br /> (work) <br /> MAII.INGADDRESS: 2565 Dunti�roody CITY: Wayzata Z�� 55391 <br /> CONTRACTOR• Niemela Construction, Inc . PHONE: (612 ) 428-4484 <br /> CONTACT PERSON:Ra i no N i eme 1 a P+�IOBILE/PAGER: 6�-0 1c�3�-�7'��' A•" <br /> MAILINGADDRESS: 10500 Trail Haven Rd CITY� RnrrPr.� Z�����74 <br /> STATE LICENSE: #20002194 z�� .-�Zp� .�t����� <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> l�JAME; REGISTRATION# <br /> TYPE OF WORK: New Addition Xxx Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detain: ��� �{-` "7v i���� v r= .�'��+>�/N�. ��''''�e��'� <br /> G�a/ti7Y� lM�f / V J /71C r <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALL5: ATT. xxx DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ �'{f' U�'�' <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the Ciry and with <br /> the State Building Code; that I understand this is not a permit and work is not to start without a <br /> permit; and that the work will be in ac dance with e approved plan. <br /> APPLICANT'S SIGNATURE: DATE: � �� � ' r � <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />