Laserfiche WebLink
City of <br />PERMIT # `-' 0— 06 1(0� <br />CITY OF ELK RIVER <br />BUILDING AND ZONING DEPARTMENT <br />13065 ORONO PARKWAY <br />PO BOX 490 <br />ELK RIVER, MN 55330 <br />INSPECTION SCHEDULING �41-4900 <br />PLU_YIBING PERMIT APPLICATION <br />Site Address: <br />Legal Description (if Platted) Plat Na <br />Lot: Eloc%: Property I.D. (PIN) No. <br />The Applicant is: Owner Contractor Other Cj <br />Property Owner Name: 6` <br />Address: City: Z41 .� <br />State: Zi : Telephone No.: <br />Pluming Contra4oname: 55:,��� �' ! ' 4 MP Lisc. <br />�., <br />Address: ��� City: <br />// <br />Stale:'` Zip; Telephone No.:b�gc5 - <br />Applicant dame (If Other): <br />Address: City: - <br />State: Zip: Telephone No.: <br />USE TYPE <br />Single Family Detached. (SFD) <br />�l <br />Single Family Attached (SFA.) <br />Multi -Family (MUT) <br />0 <br />Commercial (CO -A— <br />❑ <br />Industrial (IND) <br />[l <br />Public (PUB) <br />[] <br />Church (CHU) <br />❑ <br />Other (0) <br />� <br />New <br />❑ <br />Addition (A.DD) <br />❑ <br />Demolition (DEM)] <br />Repair (REP) <br />Alteration (ALT)] <br />Other (0) <br />i] <br />PLEASE CONTINUE APPLICATION ON OTHER SIDE <br />