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HomeMy WebLinkAboutBuilding Permit 15. 1274 \ — O O § CI) k \ 2 @ \z \ // I 2 Ko % r- ` m XII x mlc� cR� � qk ro ® * a2 2 § -f §� § P H f co 2 -4 s 0) § 2 0 !& � tli a 7 q �° 2 z a} \ > A o �\ (-1k% z k k mpl kk Om/ § t� / m E §nc � nE/ K cn mr- 2 m § q § ■ q � § m n ® - 6 3 p z � = = � z § 2 ? $ ) o z » n00 0 _■ m Z } § ƒ 2k 2 ! C / 3 � § § § g § = q / / } . . § % 7 f 7 4-00000 ' / r ` 2II § § r 2 < % 7 \ L § § §ƒ 2 2 } in r 2:mmz/ _ . / � 2 � k 2 � r Q m of P1tfoR CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd 's ` TEMPORARY CERTIFICATE OF ZONING COMPLIANCE vAND UTILITY CONNECTION PERMIT (0.&.-/r- * "NNE s01P. I. White File link Cit PERMIT NO. 4i 2. rink city /` /a type or print and sign at bottom) Yellow Applicant J ORESS S ��� -6(00)/A ZONING(office use) LEGAL/ DESCRIPTION(office use only) LOT�/ BLOCK V ADDITIOI j/(j j - /1 fZ.- /I2/ I S 2-4)VA /AID S- D/Lo pcl/2 1 — OWNER (Name) `-10,e, i a a Inn 4, p �^ (Phone) [Sa - o -S115 115 (Address) /1-- BUILDER BUILDER _ (Company Name) r L)Q..\ , f(gyp IN (Phone) (Contact Name) - 1 s 1 - (04-(4083r{, (Phone) (Address) nab co. . 'c W. 'KC Se.L.1;11ei rrA ry 5 5 113 TYPE OF WORK 0 New Construction ['Deck ['Porch ['Alteration ORe-Roofing 0Re•Siding ❑Lower Level Finish 0 Fireplace ❑Addition ❑Utility Connection -I,, CODE: ❑LR.C. ❑I.B.C. ❑Mis CAA' r•�vvS �i r�-eJ1C 1 _ Iiipe of Construction: I II III IV V A B panty Group: A B E F H I M R S U PROJECT COST/VALUE $ 10 r -3 3 sion: 1 2 3 4 5 (excluding land) I hereby cc 'fy 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 fur the above-meet.ned 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, revoke this permit for ause. Furthermore,I hereby agree that the city official or a ma•designee enter upon y the property to perform needed ins ecton. //42)A. - 14 — ma . p, X 9? 31 IP() c is Signature __._...._.__.._._._..._ Contractor's License No. Date Permit Valuation I Park Support Fee # 1 $ Permit Fee $ SAC # i $ Plan Check Fee 1 $ �/ Water Meter Size 5/8"; 1"; Mr. J _ $ State Surcharge $ / Pressure Reducer �(� $ Penalty $ u v 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 1 $ TOTAL DUE 1 s 7c, p).3--- This Application Becomes Your Building Permit When ApprovedP '7 ' 1-7S----1 S--- j� aid Receipt No. '5 1 S Date f©46,, /, I BY Building Official Date i rs to certify that the request m the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document I 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 I d. 0t 1 Planning Director Date Special Conditions,if any