Laserfiche WebLink
J � <br /> Total Fee: $ Date Receive <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR'CONTRA.0 R <br /> JOB SITE ADDRESS: 1<1®� � S� ZIP: C <br /> NAME OF OWNER: j`(� V( G f G` J PHONE: (home) <br /> (work) oo- �c2-�E'7—�13� <br /> MAILING ADDRESS: CITY: ZIP: <br /> SMA ROOFING&REMODEt.f <br /> 4100 EXCELSIOP <br /> CONTRACTOR: • ST.LOUIS PARK,MV ilPHONE: <br /> CONTACT PERSON: #0,001050 MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # ID <br /> ARCHITECT/ENGINEER-ti EER: PHONE: <br /> MAILI�i TG ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure. <br /> Move - Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe in detail): TiEa k n-�-t �e � h d US°e — <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS:' GARAGE STALLS: ATT-- <br /> ESTIMATED <br /> TT:ESTI RATED CONSTRUCTION VALUATION (excluding land): $ <br /> I hereby apply for a building 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 accord ith the approved plan. <br /> APPLICANT'S SIGNATURE: S DATE: C9 — 5 <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 />