HomeMy WebLinkAboutBuilding Permit 08-1015
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Type 01 L.onsuucuun:
Occupancy Group: A B E
Division:
F
I
H I
2 3
M R S U
4 5
YKUJn\....l "--V~.I l'L"'LLJUL.J .po
(excluding land)
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I hereby certily that I have furOlshed InformatIOn on this application which IS to the best of my knowledge true and COlTect. I also certlly that I am the owner or authollzed agent for the
above-mentlllned property and that all constructIon WIll conform to all eXIstIng state and local laws and will proceed In accordance with submItted plans I am aware that the buildIng
onicial c revoke thIS ermlt for Just cause Furthermore, I hereby agree that the CIty offrcial or a designee may enter upon the property to perform needed InspectIOns
tfJUL.A
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Contractor's License No.
J ;; ,- J ;) --0 g
Date
$
$
$
$
$
$
I $
$
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Park Support Fee
SAC
#
#
-~~
~'1.
I .5"t?
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
cordance with the City Zoning Ordinance and may proceed as requested TIllS document
allows construCllon to commence. Before occupancy, a Certificate of Occupancy must be
te
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
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DATE ISSUED t'Z- A.. foe
-
BUILDER -.J~eS I1l~ C~l"fL. PHONE # 44o-~\"73
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
c"c.- qJ"OlI.....~ 0.. <.c., -' rrQ
I' - - . INSPECTOR
~ ~ INSU~~ I rb Ja/tcyoe I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING Ft..oo/1.f~ j1../r1IofbV1-,\~' I I
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t:!'- /
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
r-
PERMIT NO. t/f) . (Or~
DATE
I FINAL
FOR ALL INSPECTIONS (952) 447-9850
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