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Io� "7 . �g <br /> Total Fee: $ Date Received: - -�? <br /> Entered By: � Permit #: fi-�����-��f� <br /> C���Y"O l�ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (p/ease print a//information) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circ%one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: 2120 Carriage Lane Zip; 55391 <br /> Velie <br /> NAME OF OWNER: C . Decker and Bonnie PHOIVE: (home) 952-475-052i <br /> (work) <br /> MAILING ADDRESS: 2120 Carriage Lane CITY: Orono Z�p: 55391 <br /> Jon Rohs Construction and <br /> CONTRACTOR: Real Estate , Inc . PHONE: 952-591-0864 <br /> CONTACT PERSON: Jon Rohs MOBILE/PAGER: 612-810-4311 <br /> MAILING ADDRESS: 600 S Hwy 169 �k155 CITY: St .LouisPk ZIP: 55426 <br /> STATE LICENSE: # 3 5 9 4 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New Addition Accessory Structure X <br /> -------- <br /> Move RemodeVAlteration x Land Alteration <br /> PROPOSED WORK (describeindefail�: Add a 22x26 garage (detached) and <br /> remodel one stall of the 3-car attached g�ra_ge _ <br /> J <br /> STORIES: SQ. FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: :u'' GARAGE STALLS: ATT. L DET. <br /> ESTIMATED CONSTRUCTION VALUAT[ON (excluding land): $ 50 ,000 . 00 <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and <br /> accurate; that the work will be in conformance with the ordinances and codes of the City and with the <br /> State Building Code; that 1 understand this is not a permit and work is not to start without a permit; <br /> and that the work wil( be in accordance with the appr�ed plan. <br /> / <br /> �j > <br /> APPLICANT'S SIGNATURE: -- ` � b DATE: -`�� � -> <br /> NOTE.� Parade of Homes e vents require separate permit appro val by Po/ice Departmerrt aad City <br /> Couaci/60 days prior to the eveat. Non permrtted events will not be a//owed. <br />