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Total Fee: $ !�-�' }, �- DateReceived: � �� � �� � <br /> " Date Approved: <br /> • Entered By: r,,i .,_. Permit#: �I �� <br /> CITY OF ORONO - BUIIrDING PERNIIT APPLICATION <br /> ALL I�F'ORiI�IATION NIUST BE SUBi�tITT'ED IN FULL BEFORE PLAN REVIEW WII.L <br /> BE STARTED <br /> --------- ----------------- —�------ <br /> ---------- ------ <br /> -- <br /> THE APPLICr�'vT IS: (circle one OWNER O CONTRACTOR <br /> �- <br /> JOB SITE ADDRESS: 3C�ti�1 �i�� �JY��-e zrn: ��°� � <br /> c � ���� -� _/;7�) <br /> NAME OF OW�TER• 1 � PHO�IE: ome) � � z�`�`� <br /> � (work) <br /> NIAILING ADDRESS:��1.3��5�, CITY: ZIP: �' 1 <br /> CONTRACTOR: ROOFING&REMODEL1Nf:: PHOi�1E•��j� g��� <br /> 41 �1LE PHOiV�E/PAGER: _. <br /> MAILING ADDRESS: ST.LOUIS PARK,MN `� ' CITY: Z�: <br /> STATE LICENSE: # <br /> ARCHTI'ECT/ENGINEER: PHOi�tE: <br /> MAII,INGADDRESS: CITY: Z�� <br /> NAiviE: REGISTRAT`ION # <br /> TYPE OF WORK: New � Addition Accessory Structure <br /> Move RemodellAlteration Land Alteration <br /> P OPOSEDWORK describei detail)�4�t�(� �I7� � ��� � <br /> � <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> q � <br /> ESTTVi IATED CONSTRUCTION VALUATION(eYcluding land): $ � r� "� <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 i.n conformance with the ordinances and codes of the City <br /> and with the State Building Code; that I understand this is not a permit and work is not to start <br /> without a permit; and that the wo w 1 be in a rd ce with the approved plan. <br /> APPLICANT'S SIGNATLTRE � DATE: a� � <br /> NOTE! Parade of 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 allowed. <br />