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, - a� �� �� <br /> �� b �t�2 <br /> �� <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 /> (p[ease print all information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> -- ,�--�-�--�=��, <br /> � <br /> THE APPLICANT IS: (circle one) OWNER OR ONTRACTOR� <br /> , �_.,�...._.z_ <br /> JOB SITE ADDRESS: ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ Yes ❑ NO Ifyes, a special event permit is required with Police Department and Ciry Council approval <br /> 60 duys prior to the event. Shuttle bus service will be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non-permrtted events will not be allowed. <br /> NAME OF OWNER: ���� PHONE: (home) �/-�-1 �`� <br /> � <br /> (work) <br /> MAILING ADDRESS: CITY: ZIP: <br /> Renewal By Andersen <br /> CONTRACTOR: 1920 County Road "C" West PHONE: <br /> CONTACT PERSON: Roseville, MN �5113 AGER: <br /> MAILING ADDRESS: _ I,icense #20130983 ZIP: <br /> STATE LICENSE: # 651-264-4777 DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: 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 mov t ay require MCWD review and permits ! <br /> PROPOSED WORK(describe in detain. G�,�`� <br /> ti r <br /> , <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATTACHED DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ —' <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 ofthe City and with the State Building <br /> Code;that I understand this is not a pe mit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved p <br /> APPLICANT'S SIGNATU TE: � <br /> 31 <br />