Laserfiche WebLink
. � <br /> Tatal Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF 4RON0 - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (please print all information) <br /> THE APPLICANT IS: (circle one) OWNER OR CONTRACTOR <br /> JOB SITE ADDRESS: <br /> 980 Cox Farm Road Z�; 55356 <br /> Will this be a Parade of Homes,Remodelers Showcase Home or other Display Home? <br /> ❑Yes �✓ 1�T0 lfyes, a special evenl permit is required with Police Deparlment and City Counci!approva! <br /> 60 days prior to the evenl. Shutlle bus service wifl be required unless applicant demonstrates <br /> su�cient on-site parking is available. Non-permitred events will not be a!lowed. <br /> NAMEOFOWNER: Christopher Wilson PH�NE: (home) <br /> (work} <br /> MAILING ADDRESS: CITY: ZIP: <br /> CONTRACTOR• Cedar Valley Exteriors, L.P. PHONE: �637552221ext 132 <br /> CONTACT PERSON: Kim Travis MOBILE/PAGER• <br /> MAILING ADDRESS: »00 93rd lane ne CITY: Blaine • 7�p; sssss <br /> STATE LICENSE: # 20630613 EXPIRATION DATE: <br /> ARCffiTEC'I'/ENGINEER: PHONE: <br /> MAILING ADDRESS: CYTY� �P' <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Hame Addition Accessory Structure <br /> Move Home Remodel/Alteration(ie: Siding, Windows} <br /> Any earth movement may require MCWD review and permits! <br /> PROPOSED WORK(describe In detai�: Roof <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO.OF BEDROOMS: GARAGE STALLS: ATTACHED � DETACHED <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ <br /> 13,061 <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 of the City and with the State Building <br /> Code;that 1 understand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. 6/13/08 <br /> APPLICANT'S SIGNAT[JRE�1/�Y� , 1 � DATF.: <br /> 31 <br />