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CITY OF ORONO — BIIILDING PERMIT A.PPLICATION <br /> c i <br /> �rotal Fee: $ i'� '-�� �C �'� � Date Received: � - �3� �-5 <br /> . 1 - <br /> Date P.pproved : <br /> Entered By: ' ��,` r� ,_ % C� <br /> . � Permit tt: � ' <br /> AT.7. INFORMATION MIIST BE SIIBMIT'�ED IN FULL B�FORE PLAN RLVIEW WILL Bg STAR�ED <br /> (See Check-off List Enclased) <br /> -------------------------------------------- — T --------------------------- <br /> THE APPLICANT IS: (circle one) OWNER o CONTRAC_OR <br /> �i <br /> JOB SITE ADDR$SS: 855 Partenwood Lane , Orono, MN ZIp: 55391 <br /> (work) <br /> N�ME OF OWNER: S . Asim Gul PHONE: (home) <br /> MAII�ING ADDRESS: 855 Partenwood Lane CITY: Orono ZIP: 55391 <br /> CONTRACTOR: Glacial Ridaes PH��= 612-231-22'� 1 <br /> MAII�ING ADDRESS: 5250 HWY #71 N . E . CIZ*y; Willmar, MN ZIp: 56201 <br /> STATS LICENSE: Q 20019606 <br /> ARCHITECT/ENGIN�ER: Arteka pgpj�: 612-934-2000 <br /> MAILING ADDRSSS: 15195 Martin Drive CIZ*y: Eden Prairie ZIp; 55344 <br /> N�ME: RBGISZ�2.ATION � <br /> TYPE OF WORR: New Addition x Accessory Structure Move <br /> Demo Remodei/Alteration x Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : Add Gable roof over entry stoop <br /> STORIES: SQ. FEBT OF EACH FZOOR: <br /> NO. OF BBDROOMS: GARAGS STALLS: ATT. DET. <br /> ESTII�SATED CONSTRIICTI�N VALIIATION (eacluding Ia.nd) : $ 3 000 . 00 <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and <br /> �hat the work wiI I be in accordance with the approved plan. - • <br /> i <br /> �—� -- <br /> APPLICANT'S SIGNATURE: l Gt�%��'(���.,�--� DATE=�p —��� ��� <br />