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�Z�53 �'� � <br /> �/��•y <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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- ��. <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRAC <br /> JOB SITE ADDRESS: I��T (� {��{,v`�L (�(� _ . J�Yj�1-�,���. ZIP: S� �CQ� <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes � No /f:ves, a specia/event perrnit is reqa�ired ivith Police Depar•trnenl and C'ity Council approval <br /> 60 days prior to the event. Shz�tt/e bzrs serrice wil/be��equired un/ess applicunt demonstra[es <br /> sufficient on-site parking is available. Non-permitted events wi!/not be allowed <br /> NAME OF OWNER: �'��,�,�t'l,�i � �I � ��l'�P� PHONE: (home) �Sc� '�7� �`�7��j '�� <br /> (work) �� <br /> MAILING ADDRESS: I�(� J�{,4'� j�L - CITY: ZIP: �� ; � .. <br /> �l3url9et Exteriars <br /> CONTRACTOR: 8017 Nicollet Ave S. PHONE: <br /> CONTACT PERSON: Bloomington, MN 55420 MOBILE/PAGER: <br /> MAILING ADDRESS: �-g��-310-1?42 CITY: ZIP: <br /> STATE LICEIYSF: #_F�����'��� _ EXPIRATION DATE: ����2--- <br /> ARCHITECT/E'.YGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessory St ucture li <br /> Move Home Remodel/Alteration (ie: Sidi , Window � <br /> F3oz t bsuf npvuf nf ou nbz st r v� st NDXE st vuj t x boe qfi snj ut " <br /> � PROPOSED WORK(describe in detain: y'� % �t �-> � ; � ; <br /> � ��% -��'};1��-- � �C��+��Y�y-���1v,�'��l E�r� <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED , DETACHED <br /> c�L> <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ j� � 7 3 � <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 SIGNATURE: , / DATE: �������� ' <br /> 31 <br /> I <br />