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HomeMy WebLinkAboutBuilding Permit 14. 0822- REROOF C) 000000 ° 0 > ■Q J O O ■33s-nines § $ § � l a . E "AVc2o m § m n� k r 71 k 73 AI m Bek-kk 5 0 dm r � ■ Z m o-I z- / % * \ % § z $ § m B © a $ 0 x % $ 7 g q m li © © \ q r 12 - 1 7 �� cs,,.1 z o 0 0 000000 , z ■ 2 2 , m -octm� c k CO ME MI03 N m § 0 -n _ ■ ■ 73 _ 0 § % a m L �' r%00 $ B q 0 `a _4 Z > c c § 1.n .. ■ F . rmm o # § _ \ Iit. . 2 § OOOco —o oil » § > 0 § MSC§ �_ % Ems , „ k A � �� o » 4 nnsm , 1 k ��� F 2 m i cn% z m -Ir ® TEMPORARY CERTIFICATE OF ZONING COMPLIANCE e/fiU AND UTILITY CONNECTION PERMIT 5.: // / Y , 1.white File PERMIT NO. /4 2. Perk City ,.,,( 3.Yellow Applicant t% (Please type or print and sign at bottom) ADDRESS ZONING(office use) / 55-7Z-1' M i) Cj rcie, S - 7 i S 6 LEGAL DESCRIPTION(office use only) LOT BLOC kADDITION 69 /ce 49 /VL-d4 /-J---',44.411 PID ;600/ - 003 b OWNER / /i �sy» (Name) ,bG�U J lam! on (Phone) Ji . Ar (Address) /55 71/ IA // C1?vim 55•E • q'S1-.?.2G 2)p 9 BUILDER ^, (Company Name) (V--t s i-6 n0 J ` cc (Phone) '1J2-: 214 3• er 7 -2-- (Contact (Contact Name) J9A4 JJ_.� // l�� (Phone) ) . 7 �- 7 7(0 (Address) q 4 y ,)Je/1 U 4 6 ve O`0i, l I4 a/ 'j 14 ,S'1' / TYPE OF WORK 0 New Construction ['Deck ['Porch '�Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace ['Addition ❑Alteration ['Utility Connection CODE: DLR.C. I.B.C. 0 Misc: Type of Construction: I II III IV V A B //nnom� Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $ / ' Z)3 Division: 1 2 3 4 5 (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 above-mentioned 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 official can revoke t for just cause. Furtherm I hereby agree that the city official or a ignee may enter upon the property to perform needed inspections. x ��� i (,4 iz,./`// elher) te3C 63_3 6 8 2 // 1 !� Signature Contractor's License No. Date Permit Valuation l Park Support Fee # $ Permit Fee $ b i) SAC # $ Plan Check Fee 11 4� Water Meter Size 5/8"; 1"; $ State Surcharge $ '5 --- Pressure Reducer $ Penalty $ Sewer/Water Connection Fee # $ Plumbing Permit Fee $-------..----.................---------- - Water Tower Fee # $ Mechanical Permit Fee $ Builder's Deposit $ Sewer&Water Permit Fee $ Other $ Gas Fireplace Permit Fee $ TOTAL DUE $ 7( . `,J ,.. This Application Becomes Your Building Permit When Approvedpal L'J ' l Receipt No. 7 1 t✓Jj By S Da (geB / J "f Building Official Date ' ( ` I This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be issued. Planning Director Date Special Conditions,if any 24 hour notice for all inanretinnc(952t 447.9S250_fax(9521447.4245