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Total Fee: $ /57-- / 0 Date Received: /Q-o -O / <br /> Entered By: ? L - Permit#: PG y 5-c9 V <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 <br /> JOB SITE ADDRESS: (Z O C) n� l 1tr�n P-01_, ZIP: SS �� f <br /> NAME OF OWNER: Lt-c4 . CCCc..A.t.<_ PHONE: ( i ) ( -Z 7 5- 2(S`i <br /> (work) <br /> MAILING ADDRESS: .SC.�- _ . CITY: ZIP: <br /> SELA ROOFING&REMODELING <br /> CONTRACTOR: 4100 EXCELSIOR BLVD (-D Z-SZ3--go 4{(r, <br /> ST. LOUIS PARK,MN 5541PHONE: <br /> CONTACT PERSON: ID#0001050 MOBILE/PAGER: <br /> MAILING ADDRESS: CITY: ZIP: <br /> STATE LICENSE: # p C� <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 in detail): --- ( trot.cSTORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT../ DET. . <br /> ESTIIYIA.TED CONSTRUCTION VALUATION (excluding land): $ 1 <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 /> APPLICANT'S SIGNATURE: ._ AA ! / / Li DATE: (6- <br /> NOTE! Parade of Homes events require separate permit approval by Police Depqrtment and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />