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HomeMy WebLinkAboutBuilding Permit 12. 0798 (Re-Roof) \ - 0 = 0 000000 - 0 0 > 2 n 0 0 ■����� 0 b S q ) o > © 2 0 7 g klcVcR m m m M % § m m §� m - rrEE d 0 $ -� 0 % t � q § J ®qQ 0 Z- ® 0 m @ n z 2 c\ z 2 @ k 2 2 > -I a 0 n z 0 2 z qx \ ° o ~/ Z > . m j r 7 z xi § § m 000000 m - mm ■ -n m *■� 2 ( 1 \ 0 � - E § m / 0 z zxx z z } 0 0 / %RR \§ ` 0 1' q _40 \ z Z X X § z 0 2$ m r§- P 0§ / _ m 0 » M aooeo c .` � ) > 0 � )mm o g \ hl 0 § g nn A > - / § � � } C -I r - 0 R � O 4 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd o p ® M , TEMPORARY CERTIFICATE OF ZONING COMPLIANCE PERMIT " , t2,7 AND UTILITY CONNECTION �.. & ( ZZ— M �A' NESO 1P I. White File PERMIT NO J p 2. Pink City / Z a 7 3, Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING (office use) b'/4 /S 13 S— .. .i& LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION , PID OWNER (Name) 3 1- E L .SO A) (Phone) (Address) •4 BUILDE (Name) /3 £/ Cxr 11/2.o /V4 -7,J co2 (Phone) ls' - $ b / — 4°2L/3 (Address) V DS LJ . !o C S T . /YJPL_S - , , WA) S vi TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ,fRe- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection ❑ Misc. Pa. Rte' ra-t. 7 /e a. / PROJECT COST /VALUE (excluding land) $ I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the a.eve-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with . submitted . I am : that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter up the re p. rform needed inspections. x I� f e ,9/1 / 7/ / 8",x Signature Contractor's License No. Date Permit Fee $ Park Support Fee # $ Plan Check Fee $ SAC # $ State Surcharge $ Water Meter Size 5/8 "; 1 "; $ Penalty $ Pressure Reducer $ Plumbing Permit Fee $ Sewer /Water Connection Fee # $ Mechanical Permit Fee $ Water Tower Fee # $ Sewer & Water Permit Fee $ Builder's Deposit $ Gas Fireplace Permit Fee $ Other $ This Application Becomes Your Building Permit When Approved TOTAL DUE $ Paid 7111 R- e et No. (06 S/y Building Official Date Date This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance , . ay proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before'. .ancy, a Certificate of Occupancy must be issued. Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245