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FROM : NORTHWEST EXTERIORS MINNESOTA PHONE N0. : 952 926 5960 Apr. 24 2003 12:54PM P2 <br /> Ap'-Z4-2003 Ci'26p� �rc�-CIiY �F 3RCN� T932249f6�6 �-:41 P CC:/��.� �-:[G <br /> .,.� =� ,2 f'' <br /> �Tct��7 Fe��. S_ �� ' . �.'..� ]�ate kec�ived;,�.�__.._.�_---._w - <br /> Entered B��: _�-- i � P�rnsit.�: --- <br /> � <br /> CITX (.?�' aRC1NQ - BUII.DYl\7G �E�t1.VJIT APF]LICA7CI��i <br /> ?�.1� inForrnation �ust be submitted tin fn11 before �,1:�►i rev�ew ws11 b� star�ed. <br /> (please priMt all inforrnatian) <br /> THE APPLI�Ai\Y7' TS: (�tr��e ane} pWI�TER O � UN''X'RAGTO <br /> � <br /> JO� SITE A�D1��S5: , v2��u►J��OOC� A V'�� ZIP: ._ S��3�1 /^__.. <br /> ��—_._.—._ <br /> ��i� O'F O��R: �_k c�4 (y 6��^��� _ P1�0':�TE: ;h�me),. <br /> (work) � <br /> 1��.L'�G ADbR��SS: C�TY: Z�!':�— <br /> � �..-, FHO:�'E: ��Z-�9�G ��G 3 <br /> COti'TRA.CTOIt: No �IR.eb��ic�p�S �n� <br /> _—.....,........ <br /> ( CONT4CTPERSUI�: —� MQBI�Il'AGLl$: ' <br /> :�IAII.Il�I'C ADDR]:Ss;1� Do l.v�l�r� ST C1T'�:S?�c s /c zIP; �'a�3� <br /> STATE LICENSE: #,t�� �?ra��5�(�S-o <br /> . <br /> A�ZCHITECT/�\TGI�'EEYt: PFYOr1E. _ - <br /> �2�TLL�1G a..DDR�SS: CYTY• z�F:....__.._..� <br /> ' REGrSTY2ATYO�i� <br /> N�il�: _ _. <br /> '1"Y�'E OF WOR�:: Nepv A.ddi ion Ac;cesson• Sm:c�sre ..__. <br /> Nlov� ____,� WRennodel/Al�era�ion �, Land��Itera�io,��_,_..,� <br /> � <br /> PFtOPOS�D�'ORK(describe�n detai���1��11`� ��-� '�`" <br /> �pl�ack +.0��t�. i�fl�a c,c.,�aZ� S'�u-ru� �ve ' -�,�sc G��. <br /> STORITS: �_ SQ. FEET OF EACH F`LaOR; ____ .,_ <br /> NO. 4� BEDRO«V,SS: Gr1.�.AGE STALL�: ATT. DET. <br /> �EST�.�.'fED C0�15TY2UCTI�N V'ALUATION(�xcludfng land): ��70�?_ �'v <br /> T heseby� a��ly for�t building pernut and T acicnowledge th$t t�iz�c�rmat:wn abqv� ii camvl�te a.^d <br /> accur��e; that th� w�rk will be�.n confonmance wi�th the ordiz�anccs and codes Qf�.e C;r,� �nd v;�ith <br /> �e St�se Building Code; that I.�unders 'thi5 iS t a persnii and wqrk iS i1oL to star.[WiihoU.? � <br /> perna:t; and tha+the Wosk uil e iri cco dance [Li.z apg£oved plaa. <br /> APPI,IC.�i.�'T'S SIG�YATURE• , I3�TE: �;� t' ��� _ <br /> NO�'E{ �' r �' ir even�s re �separate permit Qppruvad by I'o�ice Depc�rtrner.t cznd <br /> C:ty Councal 54 days prior to the event. Non pernei�tar3 events ��ill not be aYTnwed. <br /> � <br /> , � �� - <br /> , <br /> ;, � �:� <br />