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,<:��-- <br /> W�." <br /> Total �ee: $ ;`�`,'`"`�. Dat�e Received: <br /> �ntered By: ��;.<_ � P�ermit�: �f �� �f `j �_ <br /> CITY 4F QRUNC? - BUILDING PE�iMIT APFLICATION <br /> Alt [nformat�on must be su'�nit�sl ln full befar� glau rev�ew r�ill be startcd. <br /> (please prrirtt ati infotmcztion) <br /> 'I1� APpLICANT IS; {r,zrcle�ne} OWNER pR C4N�'RACT�R <br /> JO$ SITE ADD1tESS: CSAH 15 �IP: <br /> NA.� OF OWl�; Hennepi n County __ _ p�pN�; {hotne) N/A ^ <br /> (w�) <br /> MAILIl�i{x ADDRE.SS: 320 Wa s h i n g to n Av e S CiTY: H o p k i n s ,�,Ip; MN <br /> �ONTRA.CT4R: Ames Construction, Inc. PHCtNE: 435-7106 <br /> �ONTACT p�tSdN: B u t c h T r e b e s c h MO$IL.ElPAGER: 4 3 5-710 6 <br /> ------W--- __. <br /> ��,��.prjD��; 14420 Co. Road 5 CITY; Burnsvi 11 e_ 'LiP: 55306 _ <br /> STATE LICENSE: � <br /> TAX I .D. 9254139 <br /> ARCffiTEC'�'lENG�NEER: Hennepin County p�p]�; 930-2536 <br /> MAILINGADD�58: 320 Washin,c�ton Ave. So. CI'I"Y; Hopkins z�: 55343 <br /> 1"�A�: C ra i g Tw i n em RF.GISTR,A`I'�OrC� 19119 <br /> TYPE UF WORK: N�w Addituan Acces�ry�hucbare <br /> Move �Remodel/AlteratiQn Lanti Ahcra�on��� <br /> �'Rapl'QSE�?VPURK(describeinde�ail}; __ Roadway Reconstruction <br /> 5"TURIES: SQ.FEET a�'EAC�FL�OR: _ <br /> NO. UF BEI�Rd4M5: GARAGE STALLS: ATT. DET. <br /> ES'I'Il1�IATEI)CO?YSTRUCTI(�N YALIJATIUN(exclu[firtg larsd): �, N/A <br /> i hereby apply for a build�ng Fcrrnit anci 1 aclmowkdge that the ir►formatian abovc is campk#e and <br /> accuzate; that tt� wark will be in confonnance with the ordinances an� codes af the City and With <br /> th+G Skatc Building Code; that I uucier�tand this is nnt a permit �nd wark is rwt tc� start withaut a <br /> permit; and that the work wiIl be i accprdance wi the �.ppravecl plan. <br /> AP�'LYCANT'S SIGNATiJ�E • TE: �� 7 <br /> 1V0T"�! Parnde of Hanes events reqreire sapaMte permit a,pprovai by Potice Uepartrnent a�d <br /> C�ty Cou�ecil6U d�ys pr�or to t�x� e��nt. 1Vor��rrr��ted ever�s will Aot be a!lowed <br /> 3 <br />