Laserfiche WebLink
06/13/02 08:36 FAX 7634933689 MN EXTERIORS INC. �� [�001 <br /> . q���� <br /> /I� TotaI Fee: $ v�J� d ` ��� <br /> DateReceived: <br /> ` � Entered By: � De teApproved: <br /> � rn�t�: <br /> CITY OF.ORONO - BUILDING PERMIT A,PPLICATION <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REV�Ey�wII,L <br /> BESTARTED <br /> -------------------------------_-- <br /> ------------------------ <br /> -------------------- <br /> APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> - JOB SITE A,DDRESS: �j . ZIl,: <br /> � � <br /> NAME OF OWNER: '� <br /> PHONE: (home)�_ 7�C—l�6�/ <br /> MAILING ADDRESS• work) <br /> CITY: ZIp; <br /> CONTRACTOR: � � PHONE: �6�'�/�J/ 5� <br /> MOBILE PHONE/PAGER: <br /> MAILINGADDRESS�' 6 CITY: ��i ZII': �' '6 5 <br /> STATE LICENSE: #_�'3 - 7 � . - <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME' REGISTRATION # <br /> f � <br /> TYPE OF WO]�I��New Addition Accessory St�ucture <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSEDWORK(describeindetail): � �� <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED CONSTRUCTION VALUATION(excludingland): $ �o � � �v <br /> . <br /> I hereby apply for a building permit and I acknowledge that the information above is complete <br /> and accurate; that the work will be in conformance with the ordinances and codes of the City <br /> and with the State Building Code; that I und tand this is not a permit and work is not Co start <br /> without a permit; and that the work will b 'n accordance with the approved Ia . <br /> APPLICANT'S SIGNATURE: � <br /> DATE: � <br /> NOTE! Parade o, Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be all we . <br /> ��� � �� <br /> ��� � � <br /> � . <br />