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• <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 ORCONTRACTOj <br /> JOB SITE ADDRESS: 3(0 0 CD Po f) b O f eM f'd ZIP: '5 5 3 ' / <br /> fond Soul/) <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑Yes 1-1-No If yes, 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: 8[) `` I C)')bo r 1) PHONE: (home) 4175 - 25' 42 <br /> MAILING ADDRESS: 310 b Po n e OntA .At (work) <br /> crrY: d!`ono ziP: 55 34/ <br /> Pella Windows and Doors <br /> CONTRACTOR: 15300-25th Ave. North, Ste. #100 'HONE: 9 52/34 S- -t C Y7 <br /> CONTACT PERSON: GER: J od( D E&At Joni ) <br /> MAILING ADDRESS:— Plymouth, MN 55447_ License#20165884 ZIP: <br /> STATE LICENSE: # 763-745-1400 ATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: J1 j a 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 WQRK(describe in detail): 7 window Pep /I} L► 1r),!f)--r c <br /> In 1f( S /1' b Jd>1A <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ / 5 i 7 8 <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 t tart without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: !v DATE: `J l 3 16 <br /> 31 <br />