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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 O10NTRACTO9t <br /> JOB SITE ADDRESS: G 0 dr n n u O r c%Ord R df ZIP: 55'31 / <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> Yes n No Ifyes, 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. Noon permitted events will not be allowed. <br /> NAME OF OWNER: DO 11 t l Q S i5 / T (,l y PHONE: (home) Qc'l210-733 3 <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> Pella Windows and Doors <br /> CONTRACTOR: 15300-25th Ave. North, Ste. #100 'HONE: 45'213141:-Gov 7 <br /> CONTACT PERSON: _ Plymouth, MN 55447 GER: Jod e A (Mt r Jon•. <br /> MAILING ADDRESS: _ License#20165884 ZIP: <br /> STATE LICENSE: # 1ATE: <br /> 763-745-1400 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory Structure <br /> Move Home Remodel/Alteration(ie: Siding, Windows) <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe in detail): 1 L i do(At re pl c) Ct Iry <br /> (11 Oittsiflet �Di11iAe <br /> STORIES: /SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED_ <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 7 2 6 l <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 the approved plan. <br /> APPLICANT'S SIGNA 4(2 ^7101 DATE: <br /> 31 <br />