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CITY OF ORONO "i ' 6124730510 09/24/96 14:00 :02/03 NO:522 <br /> E <br /> Total Fee: $ q°1.Gri7 Date Received: <br /> Entered By: Permit#: ) 73?- <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 CONTRACTOR <br /> JOB SITE ADDRESS: (o<6O O(C s . ZIP: • 5535(.0 <br /> NAME OF OWNER: ,10 _La d---w1cS PHONE: (home)(o D . 999.95-5 <br /> (work) <br /> MAILING ADDRESS: So. C n CITY: p co-n0 ZIP: s53560 <br /> CONTRACTOR: RENEWAL BY ANDERSEN moi: <br /> CONTACT PERSON: 350-73RD AVE. NE ER: <br /> MAILING ADDRESS: r 612 , MN 77432 : <br /> _ (612)) 5502-4777ZIP:__ Z <br /> STATE LICENSE: # LICENSE #20130983 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION# <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration ,C Land Alteration <br /> PROPOSED WORK(describe in detail): I, • a. - , , A <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. <br /> Od <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land): $ 3,y q 5— <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 accordance with the approved plan. <br /> q <br /> APPLICANT'S SIGNATURE: le DATE: , R. c9•9 1 <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 /> Racaivpd Timn Can 9A 1 . A )PK 10rin4 min,,, Can OA 1 , ADDIA <br />