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- CITY OF ORONO 6 6124730510 09/24/96 14:00 5 :02/03 NO:522 <br /> Total Fee: $ 1421. ).5 Date Received: 7V <br /> EP <br /> Entered By: Permit#: // <br /> CITY OF ORONO - BUILDING PERMIT APPLICATIONaay or-oi�®N® <br /> All information must be submitted in full before plan review will be started. <br /> (please print all ilormation) <br /> THE APPLICANT IS:� cBrcle one) OWNER OR <br /> }-� JOB SITE ADDRESS: ZIP: 3�/ <br /> 9� NAME OF OWNER: Ply IJ02 PRONE. (home) qjj-QL&a <br /> (w ) <br /> MAILING ADDRESS: CITY: ZTP: ,o� <br /> 00 <br /> -£ONTRACTOR: RENEWAL BY ANDERSEN <br /> E VE; <br /> CONTACT PE =N: 350 - 73RD AVENUE ; <br /> FRIDLEY, MN 55432 <br /> MA1IJNG AMPS-- (612)502-4777 ZIP:a. STATE LICENSE: # LICENSE# Z004G&N � $3 <br /> ARCH MECT/ENGDWER: h PHONE: <br /> MAILING ADDRESS: CITY• ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROP ' •WORK(describe indgtai!):R-1 4210 t <br /> STORIES: SQ.FEET OF EACH FLOOR:- <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> ESTIMATED 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 odes 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 in ce with the approved plan. <br /> APPLICANT'S SIGNA i 4DATE: / a3 <br /> h10TE! &=jk of Hates events regWre separate permit approval by Police Department and <br /> City Councg 6o days prior to the event. Non perp iffed events wig not be abwed. <br /> Received Time Sep. 24. 1 :42PM Print Time Sep. 24. 1 :43PM <br />