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Total Fee: $ DateReceived: <br /> Date Approved: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL <br /> BE STARTED <br /> THE APPLICANT IS: (circle one) OWNER 0' CONTRACT• <br /> JOB SITE ADDRESS: /_ 7 9 0 roll 0 t/9/7C ZIP: 53-.3 <br /> NAME OF OWNER: B1 irr CA Vl9 1n4 Cir- PHONE: (home) 909 WO <br /> (work) <br /> MAILINGADDRESS: /599 /dh 0 A/ CITY: arW ZIP: <br /> SELA ROOFING&REMODELING, INC. �L <br /> 4100 EXCELSIOR BLVD. Y'),3 6VCONTRACTOR: ST. LOUIS PARK, MN 55416PHONE: <br /> ID#0001 MOBILE PHONE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # 10 ,13-6 <br /> S 6 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure <br /> Move Remodel/Alteration Land Alteration <br /> PROPOSED WORK(describe indetail): TTA ro EP re r oa V- N OUS e, GPI r o 5 e <br /> STORIES: SQ. _FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. -- DET. <br /> ESTIIVIATED CONSTRUCTION VALUATION(excluding land): $ J� 6-0 <br /> I hereby apply for a building permit and I acknowledge that the information above is complete <br /> and accurate; that the work will be in conformance with the ordinances and codes of the City <br /> and with the State Building Code; that I understand this is not a permit and work is not to start <br /> without a permit; and that the work will be in ac ordan a with the approved plan. <br /> Q- <br /> SIGNATURE: h <br /> DATE: `�7U 1 0 <br /> APPLICANT'S SIGH � <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 />