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From:EL�3ER JONES INC 952 854 4909 11I22I2006 10:10 #358 P.003I003 <br /> . . C�,,P�-Q-6( <br /> �t - <br /> v� '�6 <br /> Total Fee: $ �f" • DateR�eceived: �r - ''� <br /> Entcrcd By: Yormit#- <br /> . , �TFY OF ORON� -BUII.D�NG PERMIT APPLICATION <br /> .A,1,��imfo�nmation mast be sabmit�ted in flrll before pIan review will be st;arted. <br /> (please prliet all�format3on) <br /> TSE APPLICAl�'I'IS: (circle one) OWNER O ONTRACTOR <br /> aoB srrE aDD�ss: � ? G S I��p G���n�� o l� l� z�: ��'3 3� <br /> Wfi�tbtfi�be a Parade of Homea,Remodelers Showesse Home or ather riinplay�o�oae? <br /> ❑Yee Q"1� �'f j+es,a apsceal'event ps.n�i�es raqar'redwirA PoKca Aopar�xam,and Clry Councll approval <br /> 60 daya prio,to tha even� Sh�arle buasarvtoa wtll bs raqulred unlesa applicar,f demoraslretss � <br /> sr�ciesut o,a.sita pm�Zng is available. Not�psrmirtsd ev�e»u wlll not be allawod. <br /> NAME OF OWNEIt: _5hci 1 L1 $Cj � �Q PHON�:<(Rh�n�� �-1 l I 'Z�G� . <br /> �n���nxEss:�'Z L S PhrQ�a� ��le► �nnr: c: s o r�z.�:SS 3 3 / <br /> Pella'OVindows and Doors <br /> CONTRACTOR: �" 15300-25th Ave.North, Ste, #100 'H��'� � -`b � <br /> CO1�T'�'ACTPERSO1rT: _ Pl�+mou'th,MN 55447 ,GER: I' n,y S <br /> � MSY7.7xGADDRES3: ^ ��e#20165884 � �' <br /> s7r�►..7['E LICENSE: �� 763-745-1400 . �ATE: � � � <br /> ARCffiTECT/ENCxIIVEER: PH�NF,• <br /> M,E�.]L�TG ADb�SS• CITY• ZIP- <br /> NAME: � REGISTRATION: #� <br /> TYPE OF WORK: New�Iome Addition Accessory Struchu�e <br /> Move Home RemodeUAlteratiaa�(ie� Siding,Window�) �^ <br /> Any earth movemeat may re ire MCWD review and Desmitsl � <br /> P OPO D'VVOR,K d scribein detain: flL. ( D • V G�1 <br /> � <br /> STORIES: SQ.FEET OF�AC��'I.pO : <br /> NO.OF BEDROOM3: GARAGE STAx.I.5: ATTACHED DETACHED <br /> E3TIIVIATED CONSTRUCTYON'V�,T..UA.TION(ezcInding land): � O�� -i -i vl <br /> I heaeby apply for a buildin,g perrnit sad Y ackncwledge t1�at.tb�e inforxnation above is complete and a,00urate; <br /> th9t the work will be is�conformance with the ordinanoes aad codes of the City sad with the Stste Build.u�g <br /> Coda;that Y understaad this is not e permit�d work is aot tc a without a pe:mi�,atui tbat tb,e work�r*ill be <br /> in accordance with the approved plsa. <br /> APPI�CAN�'�SIGNATURE: �� DATE: � � �'z+Z`'�6 <br /> � <br /> • 31 <br />