Laserfiche WebLink
1��18%94 16:c5 THE CITY OF OP.ONO 612-473-7357 �02 <br /> } - � CITY OF �AONO - BUZLDING PERHIT APPLICIITION <br /> . ,� � �.� ��� Date Received: <br /> Total Fee: S <br /> Aate Approved : <br /> ,/,. �a�`�C�L� <br /> Entered By: Permit�= <br /> ATIOP MOST B$ SIISMITTED IN PQLL BP�'ORE PT.�1N REVILW 59��' BB 3T11RTEU <br /> � I���-------------(SeerCheck_off^List_Encloaed)�-----------------w ------- -- <br /> �^p,ppyZCA�T I5: (cizcle one) OwNER or CONTRA�R S�'3��p <br /> JOB SITE ADDRBSSs <br /> ��P.S� C��C17/ /A� � I" �IPs" <br /> (work) <br /> T��PJY CIf�CtJ COti�iF'Aff�� PHONE: (home) <br /> NAPffi OF OWNERi - � ,. . - �ZP: <br /> PLYMUUTH� MN fi5443 CZTy: <br /> MAILING 1fDDRESS s ' <br /> paorr�: .5-5 • �-2 S <br /> CONTRACTOR: ' _ _ _ . •:� , • � ZIP: <br /> 41C0 C1.:111:3111f1� GA�.E CITY: <br /> MAI�ING ADDRBSS: � , <br /> STATL LICENSg: � �� '2' � <br /> PHONE: <br /> ARCHITECT/BNGI2TEER: <br /> cz�r: z�p_ <br /> MAILING ADDRSSS: <br /> REGISTRATION # <br /> NhME: <br /> Accessory Structure Move • <br /> ��,� �p yqqg�(: New � Addition Land Altezation__ <br /> Demo_� <br /> Rem�l/Alteration Renovate <br /> PROPOSP.D Wo� (desczibe in detail) : <br /> �ud��- . <br /> 8�'�RIES s � SQ• P�BT OF EACH E'T'� <br /> �. �-�_ ���3 a� - ��.�� <br /> NO. OP B$DROOHSs� <br /> GARAGB STALLS: ATT. ✓ DE�. <br /> ESTIMATED CONSTRUCTION VALIIAxION � <br /> eYcluding land) : S ��D ��� <br /> I hereby app1Y for a buildinq permit and I acknowledqe tha� the information <br /> above is complete and accurate; thaandhw th the�S�atelB ildi g C de'Jithath� <br /> ordinances and codes ot the City <br /> understand this is not a aCcerdance with t e approved pian��hout a permitj an <br /> that the work will be �n ,,, . <br /> '��/f DATE:�� -/`/ - � <br /> ' SIGNATIIR�s 'u�"`'`' `�'� -�-._. <br /> �PpLZC�NT 5 , <br />