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HomeMy WebLinkAboutBuilding Permit 15. 1004 I 0 0 n A © ■ / / \ a) ox 0 O ooOO 0 > 2 q \ \ C M////0 ri m m k _ » '�► rr ■z -4 m m $ � �9 \ / g & §a§ 2 "a9 $ / / 1 2 2 o C om o 2 xi \ k ■v / % 2 Jo dr , mq z o m 7 m 2 air� a$ ht § �RI 7 OOOooO o 2 A f m � mr �Irr a 0 / Mil =§2 m2& , 0 0 z vI _ ■a)22 m n z n m■ zzoo0 0 n g x 0 / •22 q7 - m / 0 o � � � o $ z z R. 0 0 OOOOOO , / m -00w m IIivm � ® m R _ mm= ,14 = co5 z 2 r 0 m oxPR/op 6:isev. eCITY OFP ORTEMPORARY F P AK BUILDING PERMIT�,$ o�� AND UTILITY CONNECTIONE OF ZONING COMPLIANCE Rec'd PERMIT lease e or_,riot ��~/� ADDRESS D� and si_rm at bottom) 1• File 44, ADDRESS nt) z. WhitePink city PERMIT ��3 ''nn 3.Yellow Applicant NO. \r�" n)rz • vi,e, 1\, . LEGAL DESCRIPTION (office use) RIPTION(office use only) LOT BLOCK ADDITION OWNER (Name) I PID (Address) ' r — . i/ 14 (Phone Gj,n BUILDER r �� ! -1 U►L .A. (Company Name) , 12/v D (Contact Name) V (Address) (Phone) 441 (Phone) mumerisig TYPE OF WO . Mierw: - . 0 New Construction Addition °Deck °Porch �� °Alteration ty Connectione Roofing g �Utili �Re-Siding OLower CODE: DLR.C. ❑LB.C. Level Finish Type of Cons 0 Fireplace Construction: Occupancy Group: A B E II $ ❑Misc: Division: F 1V V A B 1 2 3 MR S U PROJECT COST/VALUE I hereby ce,' . `l S ' I / above :t I have furn;shed (excluding land) finned info �� tion on -' offici. an re .k: 'that all co ./,..• application which is to or just cnf on conform to all ch is the best of my knowledge true and correct. �[ , ,re,I ereby agree that thescity official tate nd local a d:: :::0 : o aws gnd will preed• I dao'that I n the om accor er or au oed th submed plans. I am awaze went for the illrllawtoperformneeddthat the bur7ding Pernmit Valuation rjj Permit Fee Date JJ Park SupportFee State Surcharge IIIIIIIIIIIMIII Water Meter Size 5/8 1"; Penalty Pressure Reducer Plumbing Perot Fee Sewer/Water Connection11111.1111111111111111 Permit Fee # 51111.1111111111 Fee Water Tow Builder's w # Gas Fireplace Permit � Deposit111.111111111111 iram Fee Other I - ThisAp,Lica: UIIIIIIIIIIMII TOTAL DUE n ' co„ , B . UIIIIIIIIIIIIII ”' Permit ermit When Approved PaAte id A/:uildin;Official Date _ Recei.t No. J ..� Date This is to certify�4 e request in the above application when signed issued. n Planner constitutes a t and accompanying do emporazy Certificate of Zoning compliance encs is in accordance with the City Zonin pliance and allows construction to ccornrnencOer Before oeaneod proceed as re quested. This Planning Director �cY,a Certificate of Occupancy muSebe 24 hour notice forDate 4646 Dakota all nspe Prior Lake ns(952)447_9850,fax(952) Special Conditions,if an 427-4245 y Minnesota 55372