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4 �!•�� <br /> �2��� <br /> � <br /> 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: �JI�J�J �G.Y`n��DW � �(�O�(�I ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO lfyes, a special event permit is reguired 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-permitted events wi[l not be allowed. <br /> NAME OF OWNEYt: �1��J�.C`�� T lO(�G`� PHONE: (home)�J� -�I�J?- /vo�� <br /> � (work) <br /> MAILING ADDRESS: � CITY: ZIP: <br /> Renewal By Andersen <br /> CONTRACTOR: 1920 County Road "C" West PHONE: <br /> CONTACT PERSON: Roseville, MN 55113 AGER: <br /> MAILING ADDR�:SS: _ License #20130983 ZIP� <br /> STATE LICENSE: # 651-264-4777 DATE: <br /> ARCHITECT/ENC:INEER: PHONE: <br /> MAILING ADDRF;SS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration(ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detain: ��C Q �- `b n�Q��� (�/r� <br /> �.P�Y�. r`��1 f�� �>�M i I�Q� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> �G �o <br /> ESTIMATED COI�STRUCTION VALUATION(excluding land): $ S � / � <br /> I hereby apply for a building permit and I acknowledge that the inforrnation above is complete and accurate; <br /> that the work will be im 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: / <br /> 31 <br />