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�-- ��TY OF ORCNO � 6�24730510 09/24/96 14:90 � :QZ/Q3 N�;S�� <br /> . <br /> � <br /> T�a1 Fe�: $ Date Reczived: <br /> Entered �►Y� Permit�l: <br /> C�TY OF OR�N� - �IJ�,DII�TG PE�MIT �'�PLICAI'YON <br /> AU�it�format�on must be submitted !n full before plan review will be started. <br /> , �lease print att i►formarion) <br /> ' �r.�.�►..��������_�_�—�_��..��r���..��N�M�..���..�N��..��.��..��o�..���..r..��....�.�.�..�.�.��....�.....����_�_^�_���____����_� <br /> T� APPI�IC��N'I' Y5: (circle one) O�NER 0 CONTRACTO � <br /> ._ .�t�� sYT�E a�I�i�ss: ������� C�crr•n.,n �'�c�.� zlr: `>>�� I �;'� <br /> �. NAld�OP'OWNEIt: ������.�C1 _�'�l��T,�� '�'1 PI�ONE: (home) - 33' �[�Zp <br /> �� (wark) <br /> 11�AYLIl1iG ADDRESS: C:\1 CI'd'Y: ��,�'� ZYP:�?� I <br /> i <br /> CO1�iTRACT4R: RENEWAL BY ANDERSEN , � • <br /> . CONTACTPERSON: 350-73RD AYE. NE ' - - <br /> � ' 1�'�AY�.Ir1C ADl?�ESS: FRIDLEY, MN 55432 <br /> ��$AT� LICENSE: � t 612) 502�4777 ZIP: <br /> LICENSE #20130983 <br /> . ABCHY'T�CT/ENG�lY�EIEt: PHONE: <br /> 1V�IY.ING ADDItESS: C�TY• ZI�: � <br /> NAME: YtEGIST�iTIUN� <br /> TYP� O�'WORIC: New Addition Accessory Sttuctnr� <br /> Move Remodel/Alteratian�_ Land Alteration <br /> �POSF.D�VYORK(describe in detai�: `�� <br /> �-�'�'`� '�--`� �!1 � I"�L� <br /> �- <br /> STORIES: SQ.FEIET UF EACH FGOOYY: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. DET. � <br /> E.SR'IMA'TED CONSTRUCTION VAI.UATION(e�ccluding lan�: $ �1 ��C� � <br /> I��reby app�ly for a building permit and I acluwwledge that the informetion above is compiete and <br /> accurate; that the work will be in confomnance with the ordinances and �odes of the City and with <br /> .' th.e Stxte �uilding Code; thac Y understand this is �ot a permit and work is not ta start without s <br /> p�rnait; and that the work will be in acc rdanee with the pproved plan. <br /> � � l <br /> APPLYCAN�!''S SIGNATiJatE:�� ��1�(.b�,�'E: I ! . <br /> , <br /> N04',�! .P�Qde of'�lome� events r�qufre separ�e permlt ap�roval by Pot�c�Dep4rtment and <br /> C'ily Cor�r�eil8a days prdor to the evertt Non permitted ee►�Rts will not be aYlowed. <br /> Rer.pivad Tlma Cen 7/1 1 �d�A1�d 1�rin1 Timn C�n 7�1 t . A�D1J <br />