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MAY-18-2016 07:46 FROM:TREBILFOUNDATION SYS 3205938720 T0:19522494616 P.2�4 <br /> , , t <br /> i' <br /> .� <br /> Ci#y of �rono <br /> Building Permi# Application for Mainten2�nce 1 Renov�tion <br /> twindows, doors, siding, re�roof, etc.) <br /> Mailing Address: <br /> PO Box 86 ��t �d cJ�{� <br /> Crystaf 4ay,MN 55323-0066 ermit numbei� � — <br /> sr�er�aa�►��: et���v�,: —r� -I <br /> 2750 Keli�y PBrkway . <br /> ,�Q jr,,"'�� prono,MN 55356 <br /> � �wQ eceived by: <br /> F�x: 952�249-4516 www.ci.orono.mn us <br /> �� � lan revisNr fee: <br /> �°"� �+����: /O �. 33 <br /> Ma�n: e5z-aas-ascm <br /> This applic8tio�n farm must be compieted in fuli and 2�t1 required inPormatian must be submitted. <br /> Incomplete applications will be r�tumed.{Please print) <br /> GENERAI.INFpRMATIdN: ��/'r� } ,,��/,, ,("' ) �,I ,/�,�� ] <br /> Job Sits Addre�a: "*'' /� l� !`T�"� U k��� f Y�P�J �� 1'�� /P�/� <br /> Wil�this be a Parsde of Home�,�temoc�eiers Showcase Home or other Displap Wom�? Yes Nc <br /> Nr�,a s��e��t�m�ir ra reqw►ed wlu,�x��nr ar�a�ry�eaur,cir ap�rov�r sc d�ys�w ro me eve�t snuar�bus se►vice wirr ae <br /> �t�rad unless opplir.�►nt dsnfonst�teS SW14Ci�rtt oq-sila parlcing is avcAab/s. IVon�vermitfrd evsnls wiA not(�a allow�,d. <br /> CONTRAC QR/APpLICANY IN O A O <br /> Name: (�. 5'5�.. �(� � �'��� � <br /> State 4�cense� p�rat�on e: <br /> Lead.Ce�ification Nu ber� Expiration Date: ,� �Q� <br /> (for work on hom�s thet w�aor�t,u p to 978 �"�"" <br /> Phone: , (ofFce) , , (ceU} <br /> Mpiling Address: � .� � �,�, �' ZIP; <br /> Cantaat P�rs�on_ Applica�t is: Contractor Homeo�nmar �c�rao ono� <br /> Email and/or � @,y�• d <br /> Fax� 3�� �'�3����a <br /> PRQPERYY QWNBR INFORMATION: <br /> � <br /> �� <br /> � P <br />