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v; � � �, ��•��•v � v�c.�rr�wiu Vy/G�+i�o i�+.VV �y :UL/U� IVU:7LL <br /> Tatal F�: S� Aate R�ceived: <br /> Entered By: Permit�+: <br /> CIT'�' OF ORONO - BUILDING PERMIT .�PPLICATION <br /> Atl informatlon must be submitted in full before plan review will be started. <br /> �� �please pr�nt all informatlon) <br /> TH� APPLICANT IS: (circle one) OWNER a ONTRACT�R <br /> JOB SITE ADDRESS: I� �.Q� -2t��Q ZI�': S�3 '� <br /> �. NAME OF OWNER:�C�,, C� �,; -e o �v��0 C�� P�IONE: (home)`I�a.��-1•�-a(pa <br /> (work) <br /> MAILING ADDRESS: � CITY: ZIP; <br /> . . . , � <br /> CONTRACT4R: Rene«�al B��Andersen E. • <br /> . COIVTAGTPERSON: 3sc�-�3ra��e.N� t' - <br /> Fridley, MN 55432 -- <br /> � � MAII..ING ADDRE55:,_, ��3-so2-4��� ZIP: <br /> ��fiA'f;� LIGENSE: a #�N2oi3o�s3 <br /> . ARCHITF.CT/ENGINE�R: PHONE: <br /> MAIL�NG A.DbRESS: C�TY: ZIP: - -- <br /> NAME: REGISTRATIUN# � <br /> 1'YP'� O�' WORK: New Addition Accessory Sm�cture <br /> Move Remodel/Alteratian Land Alteration <br /> P'ROPOSTA VVURK(descrlbe in detai�: '�Q��,ouCQ � l�i���� ��,,,r� <br /> -�-,��js�c�r�� _ <br /> STORIES: SQ.FECT OF EACH FLOO�t: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> � 2 a/ <br /> E;STIMA►1'�D CONSTRUCTION VALUATYON (excludin=lan�: $ ,� c�J� <br /> I h�reby a�ply for a bullding petmit and I acknowledge that the informetion above is compiete Snd <br /> accurate; that the work will be in conforn�ance with the ordinances and �odes of the City and with <br /> , ' the State Building Code; that I uaderstand this is not a permit and work is not ta start without a <br /> permit; and that ihe work will be in accotdattce with� the approved plan. <br /> APPLYCANT'S SIGNATLIRE: DAT�: I!•�C. •� <br /> NOTE! P�d�Homes evcnts raq�ufr� aepamte permit approval by Police Departtnte»t wtd <br /> GYty Corrnell 80 days prtor to the event. Non perm�tted eveRts w�l!not be aYlowed. <br /> �aroi ❑er� Ti.,�„ C,,., �A 1 . A�D��( D,. ;_ t mf_. _ r . _ ni � �nnv <br />