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� <br /> =4 , , CITY OF ORONO - BOILDING PERIKIT APPLICATION <br /> Total Fee: $ �,��, 3� Date Received: <br /> � Date Approved: <br /> Entered By: �;: .' .-al" permit#: ,��,�0 <br /> AT•T• INFORI�IATION MIIST BB SIIBI�IITTED IN FOLL BEFORE PI,AN REVIEW WILL BB STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: 1210 Loma Linda Ave. Mound, MN ZIP: �53�4 <br /> (work) <br /> NAMLr OF OWNER: Donald R. & Caxolyn E. Udell pgpNE; (home)�71-8F88 <br /> MAILING ADDRESS: 1210 Loma Linda Ave. CITy: Mound� MN ZIP: 5536� . <br /> Self <br /> CONTI2ACTOR: PHONE: <br /> I�lAILING ADDRI�SS: CITY: ZIP: <br /> STATE I,ICENSE: # <br /> ARCHITECT/ENGINEER: Se� PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORR: New Addition X Accessory Structure biove <br /> Demo Remodel/Alteration �— Renovate Land Alteration <br /> Extend basement family room, laundry & closet. <br /> PROPO,SED WORR (describe in detail) : Main floor - extend dining room & construct new <br /> entry in house. make entryway door from garage o ouse. ew roo russes on section <br /> of addition. Extend eaves on North side of bedroom & South side of living room. <br /> New roof shingles on entire house. <br /> � STORIES: 2 SQ. FEET OF EACS FLOOR: $� x 42' addition 336 S.F. Total 672 S.F. <br /> NO. OF BBDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (eacluding land) : $ 25,000.00 <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work wil 1 be in accordance with the approved plan. • <br /> APPLICANT'S SIGNATORE: � DAT13: � ` ��qy <br /> . _ . .. - � . _ . _ _ <br /> . . . . . <br /> .��� _ = r�a y . <br />