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v 12/06/94 12:30 THE CITY OF ORONO 612-473-735? 002 <br /> CITY OEC ORONO - BUILDING PERMIT APPLICATION <br /> 3J3 Date Received: <br /> Total Fees $., ,5� <br /> Date Approved:� <br /> Entered By: _ Permit#: rl '7-j <br /> ALL INFORMATION MUST BR SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> � <br /> JOB SITE.ADDRESS: 795 Old Cr stal Ba Road N. 8 • •_ ZIP: X5356 <br /> (work) 449-8306 <br /> NAME OF OWNER:_ <br /> Inde endent School District #278 PHONE: (home), <br /> P _ <br /> CITY: Loi g._L3k� . ZIP•_ 55 56 _ <br /> MAILING ADDRESS:.: I :• <br /> CONTRACTOR:A American Liberty Construction, Inc. <br /> PHONE: 479-1961. <br /> CAn wAA.0 '.7ikc-03� ZIP! 55 ri7 <br /> MAILING ADDRESS: P. 0. Box 383 <br /> CITY: Loretto �,.— <br /> STATE LICENSE: # Not ReoiL LPc — <br /> ARCEITECT/ENGINEER: TSP/EOS Architects <br /> PHONE:��3291__—. <br /> MAILING AUDR.ESS: 21 Water Street <br /> CITY: xcelsio_ r ZIp' <br /> NAME= <br /> Bert Ha lund REGISTRATION #. 14681 <br /> TYPE OF WORK: New Addition Accessory Structure Move <br /> Land Alteration <br /> Demo Remodel/Alteration y Renovate <br /> PROPOSED WORK (describe in detail) : <br /> Renovate lower level storage room <br /> 'nt. ue <br /> ' .nd women' s restroom <br /> Area <br /> STORIES: N A SQ. FEET OF xR: 750 S.F. Total <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET__— <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ 66,750.00' <br /> I hereby apply for a building permit and I acknowledge that the inf a h toe <br /> aabove is complete and accurate; that the work will be in conformance <br /> ordinances and codes of the City 'and with the State Building Code; that I <br /> and <br /> understand this is not a permit and work is not to start without a permit; <br /> that the work will be in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: <br /> oy '. Runquist, 'EO • <br />