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• <br /> Total Fee: $ Date Received: /, l 3/D <br /> Entered By: Permit#: /17 f� <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 C(ONTRACTO) <br /> JOB SITE ADDRESS: 3 S`7 O ro n 0 6r(hQ r ) Pd S ZIP: 5 S 3 q / <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> FI Yes ❑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: --7! 11. Tr`a -14-g PHONE: (home) L/2[80 S- G 575- <br /> (work) lS(work) <br /> MAILING ADDRESS: 38 1 otbn o O rC/ RICITy: J)Poll 0 ZIP: 5'5 3 q I <br /> CONTRACTOR: Pella Windows and Doors SHONE: Cl S 7 3 y S-L 0 y� <br /> CONTACT PERSON: 15300-25th Ave.North, Ste. #100 GER: J bd t to Ffd,r Jou <br /> — Plymouth, MN 55447 <br /> MAILING ADDRESS: ZIP._ <br /> License# 20165884 <br /> STATE LICENSE: # 763-745-1400 ►ATE: <br /> ARCHITECT/ENGINEER: lPHONE: <br /> CITY: <br /> MAILING ADDRESS: n C 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 permitp! <br /> PROPOSED WQRK(describe in detail): a Lv I n cdi t, rtpinuintain <br /> PC t Aer U o ii/Fl9 <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ 3 I 19 q <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 toXart without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: li DATE: 1 /7 / 1/7 <br /> 31 <br />