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-'�; <br /> ' Tot�al Fee: $ _--��,�/� ��}', -`' �'` Date Received: �� � Z <br /> Entered By: _T�'T_ Permit#: R� ?�''�lt� <br /> _� � � i <br /> �, ��L` � C�TY OF ORONO - BUILDING PERMIT APPLICATION <br /> L <br /> All information must be submitted in full before plan review `vill be started. <br /> (please print all information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 1140 Loma Linda Avenue ZIP: 55364 <br /> NAME OF O`�'NER: Stan and Luella Goldberg PHO�IE: (home) 952-941-2624 <br /> (work) <br /> MAILINGADDRESS: 7019 Tupa Drive CITY: Edina ZIP: 55439 <br /> CONTRACTOR: Vintage Builders , Inc. PHO:�'E: 763-559-4815 <br /> CONTACT PERSON: scott xutz NIOBILE/PAGER: 612-849-5515 <br /> MAILINGADDRESS: 13005 55th Ave . N. CITY• Plymouth Zrp; 55442 <br /> STATE LICENSE: # 2 2 7 5 <br /> ARCHITECT/ENGINEER: PHONE: <br /> NLAILING ADDRESS: CITY: ZIP: <br /> NA1tiiE: REGISTRATION# <br /> TYPE OF WORK: New x Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK (describe in detai�: <br /> STORIES: 1 1/2 SQ. FEET OF EACH FLOOR: 1010 Ma i n 5 71 2 n d <br /> NO. OF BEDROONIS: 3 GARAGE STALLS: ATT. DET. <br /> EST�IATED CONSTRUCTION VALUATION (excluding land): $ 247 , 500 <br /> I hereby apply for a buildin� 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 City 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 accor nc roved plan. <br /> APPLICANT'S SIGNAT DATE: `( <br /> �T <br /> NOT�! Parade �Homes events require separa e permit approval by Police Deparlment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br /> 9 <br />