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' / / �� _� . <br /> Total Fee: $ Date Received: _-� .�: C' <br /> Entered By: ��f'�� Permit#: �� ' r <br /> � � tl , � ��, <br /> CITY �F�ORONO -fBUII.,DING PERNIIT 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 CONTR.ACTOR <br /> s5��/ <br /> JOB SITE ADDRESS: 2845 Little orchard Way ZIP: ,�� <br /> NAME OF OWNER: John & Dondi Fleischhacicer PHONE: (hOme� 952-380-0691 <br /> (work) <br /> l�IAILING ADDRESS: 80 Gideons Point Road . CITY: Excelsior ZIP: 55331 <br /> CONTRACTOR• ' Skarphol Construction Group, Inc. PH01�+ : 952-894-9882 <br /> COi�1TACTPERSON: David A. Walock MOBILE/PAGER: 612-240-7994 <br /> MA.ILING ADDRESS: 12360 River Ridge Blvd. CITY: Burnsville ZIP: 55337 <br /> STATE LICENSE: # 7055 (Pool contractor to be Randall Pools) <br /> ARCHITECT/ENGINEER' CRE+ Associates pgp�,�. 9S2�n50--1?_06 <br /> MAILING A.DDRESS: 14616 Westclif fe Drive CITY: Burnsville ZIP: 55337 <br /> N��qE; Colin Evenson REGISTRATION# � <br /> TYPE OF WORK: New X Addition Accessory Structure <br /> Move RemodeUAlteration Land Alteration <br /> PROPOSED WORK(describe in detai�: Permit for outdoor pool construction. <br /> STORIES: SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: ATT. � DET. <br /> EST�IATED CONSTRUCTION VALtiATION (excludi.ng land): S 52,650.oo _ <br /> I hereby apply for a building pernut and I acknowledge that the information above is complete and <br /> accurate; that the work will be in confomiance wi - e ordinances d codes of the City and with <br /> the State Building Code; that I understand ' s ot a work is not to start without a <br /> permit; and that the work will be in accor n wi p ed plan. <br /> , � .� <br /> APPLICANT'S SIGNATURE� '� DAT'E: � <br /> NOTE! Parade of Homes events require separate permit approval by Police Department and <br /> City Council 60 days prior to the event. Non permitted events will not be allowed. <br />