Laserfiche WebLink
, <br /> . (,ll'Y Uit UtcGiYO - t3UILDING YERMI'P APPLICATION <br /> Total Fee: $�_�. �Z Date Received: � � 7 -% 7 <br /> �� Date Approved: <br /> Entered By: <br /> Permit#: 9/�� <br /> ALI� INFORMATION MOST B$ SDBMITTED IN FIILL BEFORE PLAN REVIEW WILL B$ STARTED <br /> (See Check-off List Enclosed) <br /> -------------------------------------------------------------------------------- <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRSSS: 1485 Lona Lake Boulevard ZIp= 55�Sti <br /> (work)371-3228 <br /> NAME OF OWNER: Kurt Greenley PHONE: Shome)473-0906 <br /> MAILING ADDRESS: 1485 Long Lake Boulevard CITy: Orono Zjp: 55356 <br /> CONTRACTOR: Patio Enclosures , Inc. PHONE: (612) 631-1100 <br /> MAILING ADDRESS: 2123 Old Highway 8 CITY: New Brighton ZIP: 55112 <br /> STATE LICENSE: # 1676 <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: RBGISTRATION # <br /> TYPE OF WORR: New Addition X Accessory Structure Move <br /> Demo Remodel/Alteration Renovate Land Alteration <br /> PROPOSED WORR (describe in detail) : Sunroom Addition <br /> STORIES: SQ. FEBT OF EACH FLOOR: <br /> NO. OF BEDROOMS: GARAGE STALLS: � ATT. DET. <br /> ESTIMATED CONSTRIICTION VALIIATION (ezcluding land) : $ 13 ,422. 00 <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be in accordance with the approved plan. • <br /> APPLICANT'S SIGNATORB: � ���� DATE: L> �-/� � <br /> �� � ��� <br />