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67,'E. �807 06:32 952-935-9544 MINNESOTA RUSCO PAGE 02/62 <br /> ���1 ��e: $ � � ' 2� Aate R.eceived: � � <br /> ' Pernsit#: <br /> Entered By: �� <br /> CITY' OF ORONO - BLT�DINCY PER11'IIT A.PPLICATXON <br /> ,All information must be submitted in �ulI before plan review wiYl be started. <br /> (please print all informatian) � <br /> ------------------------------_____- <br /> 7,'HE APPLYCANT YS_ (ci�cle one) OWNER OR ONTRACTOR <br /> JOB SITE ADDRESS: �S <br /> � ZIP: � t� � ! <br /> = ��Z��3��8�" <br /> NAIVIE OF OWNER: � PT�ONE: (home) <br /> (woz-k> Na <br /> MAILING ADDRESS: �, ,` CITY• (,I�CL f �:�� <br /> CONTRACTOR: m T� • P�IONE:_.�J� • CIr�'��C(1� <br /> CONTA�CT PERSON: ,(q, MOBILEIPA,GER: 10�2� Z80• �DOS <br /> 1 V X A II.I N G A D D F•E S S: S s 5 8 �)a na. N� 1'v2. CXTY:�{�. t��: �6�`� <br /> STATE LICENSE: #_�/7.3 <br /> ARC�IITECT/E1VGxNEER: PHONE: <br /> MATLING A.DDRESS: CIT'Y: Z�' � <br /> �AME: REGISTRATION# <br /> 'TYPE OF WORK: 1�Tew Addiaon Accessory Structuze <br /> Mave Remodel/Alteration Land Alteration �--- <br /> PROPOSEX?WORK(describe in detail�: , � <br /> � a Oc9�. 1� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: � � GARAGE STALLS: ATT. DET. <br /> �/� Ud <br /> ES7�'IMATED CONSTRUCTYON VALUATION (exc],ucling land): $ �l/V � <br /> I hereby apply for a building permit and� acknow�edge that the information abo�e is complete and <br /> accurate; tha.t the work vc►ill be in conformaz�ce with the ordinances and codes of rhe City and wittx <br /> the State Building Code; that Y understand this is not a permit and work i.s not to start wi�liout a <br /> permit; az�d that the work wxl� be in accord t wi e ap roved plan. � <br /> APPLICANT'S SIGNATURE: � �T�� 3 " <br /> NOTE! Parade of Horrzes events require epaa�te permrt approval by Police Deparlment and <br /> Cily Council 60 days prior to the event. N n permitted events will not be allowed. <br /> 5 � <br />