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114- <br /> 04 .c74 <br /> Total Fee: $ Date Received: <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 O CONTRACTOR j <br /> JOB SITE ADDRESS: o`)?47h-/ Q/,/2 p . ZIP: S `!5 <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> Yes No if ves. a special event permit is required with Police Department and City Council approval <br /> 60 days prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> sufficient on-site parking is available. Non-permitted events will not be allowed. <br /> NAME OF OWNER: PHONE: (home)' S. -4A7/_. 7 J <br /> (work) <br /> MAILING ADDRESS: ."gV4/O//Vi- Ave • CITY: VI/iti jt J ZIP: 3i/ <br /> Budget Exteriors J <br /> CONTRACTOR: 8017 Nicollet Ave S. PHONE: <br /> CONTACT PERSON: Bloomington,MN 55420 \ :/PAGER: <br /> MAILING ADDRESS: PH:(952)887-1613 ZIP: <br /> STATE LICENSE: # ,,F. W-1659 )N DATE: 3/7.3 <br /> /I�✓�-- <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accesso _ . . - <br /> Move Home Remodel/Alteration (ie: Sidint. Window <br /> Boz t bsui npwf nt ou nbz st r vj st NUXE st vy t x o qt snj ut " <br /> PROPOSED WORK(describe in detail): y}.14,,,,v° <br /> 274-"-- <br /> STORIES: SQ.FEET OF EACH FLO R: <br /> NO. OF BEDROOMS: C GARAGE STALLS: ATTACHED . DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the work will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with tlpe approved plan. <br /> APPLICANT'S SIGNATURE ,rffifr��i///� �- 5 ATE: ////r//7' <br /> 31 <br />