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Building Permit 14. 1128
- • • n 0)9,0 0 0 0 "0 0 > E0 O n 00 K §2K$ k �cn� ii k r n P3 � § m z > zoz k -1-a % .wili0 §© qQ P Zk q t ,� T. ( 0) 0 z , ¢ o �/ z j z 0 x hi 73 r a m r o m m ko z o mo o 000000 mm m ■ -o ■ * ■ - 2 cn Q Om ,C1-- enc r 7 E ? -o ■ § m ■ s -u 0 co 2 $ m � _ ■ ■ 7312 m 0 0 tt E m § -I � � > 000 § 3 - I, z N, ▪ o 0 �2 § 2 xi FP / § z n m r -o -0 P o Ax a m 0 | �_ m ❑ 00000 z O 0m k < "0limk CZ m i m � � � 0 § % tAm % / _ -4 r -1 § om FPR/0CITY OF PRIOR LAKE BUILDING PERMIT, e___________ / Date Recd AO" TEMPORARY CERTIFICATE OF ZONING COMPLIANCE X AND UTILITY CONNECTION PERMIT OJo . f o 41.*NESOS� I White File PERMIT4 NO. jj �7 32 Pink City / + // ,I� 3 Yellow Applicant ( / VV se type or print and sign at bottom) DRESS ZONING(office use) / 10/ /8/vci/.2.. 7,,) ! 0C Poor?, izicr— R ►s 6 LEGAL DESCRIPTION(office use only) LOT `BLOCK Crl ADDITION /7)O /3 AI, PID a5310"a3 t OWNER (� 'n (Name) Pete f VV'OL I I c-t- (Phone) (Address) /'-/(,2 ( Ala C /�(2 d 77.6 e / BUILDER _ (Company Name) J1/c 7,i.'![/ 11t c //.-- it G) (Phone) 1,�_,Z.- 17 J ' 539 y (Contact Name) /7/kc /14),C f / / (Phone) / (Address) 424/2 / [p2(c-. 5--7LJU/L)GJr /c4. TYPE OF WORK ❑New Construction ❑Deck ❑Porch ARe-Roofing ODE: ❑I.R.C. 4 ❑Re-Siding ['Lower Level Finish El Fireplace ❑Addition EAlteration ❑Utility Conn ction C ❑I.B.C. 0 Misc. su e of Construction: I II HI IV V A B pancy Group: ABE F HI MR SU PROJECT COST/VALUE $ . (excluding land) ision: 1 2 3 4 5 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 this permit forj .t c se Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. x Ae, _�/ 1 i (Do i 3 /oh o/c ,,f0- Contractor's License No. Date Permit Valuation '74t 675- Park Support Fee # $ Permit Fee $ 5- e)-0 SAC # $ Plan Check Fee $ Water Meter Size 5/8"; 1"; $ ---- State State Surcharge $ e7s---- 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 $#79, S This Application Becomes Your Building Permit When Approved IV.. .."N`` 7..s Receipt No. �� Date IO /0. 7 `7`7 By Building Official Date4 (1) s 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 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 Planning Director Date Special Conditions,if any 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372