HomeMy WebLinkAboutBldg Permit 02-0046
Date Rec'd
1-1- cZ-
~. ~:: ~:~ PERMIT NO. 0 ~ ...()o ~/- .
3. Yellow Applicant ~ V"
(Please type or print and sign at bottom)
ADDRESS
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ZONING (office use)
LEGAL DESCRLl" lION (office use only)
LOT
BLOCK
ADDITION
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(Address) 5q ()\ CD.('~\ 'l\~e. JfC\\ \
~~~~R(e~~, VC\\\~l b.+e{l~
(Contact Name) ~ -\-e.... ~ l~ I \ ~ vY\ 61 V\ \'\
(Address) q ~"LD Z i I c.... 6J-. CooY\- 1u.~ ., cl6
(Phone) 1~2"'l2J.p-S)Z{p
(Phone) l/i!J- /55 - 222'
(Phone)1tl.Z- eU.l8 - 31.{pG
yY\v\ 65433
lDeck OPorch ORe-Roofing )'fRe-Siding
J Fireplace OAddition DAlteration DUtility Connection
~CTCOST/VALUE (excluding land) $ 17,434. OD
TYPE OF V
CLOSE FILE
10/28/03 MP
o Misc.
I hereby certify _m . 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
su 'tted plans. I ~ that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
en er po the prope t rm n inspections.
X ZO\i7z.a<; -D' -(PJ-o~
Contractor's License No. Date
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# $
# $
$
$
# $
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$
$
$ 7~.00
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Rece1l')..o. 4:1...L.~
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I Permit Valuation I
Permit Fee . $ JIo 71-
..
Plan Check Fee $
State Surcharge $
Penalty $
I Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee I $
I Park Support Fee
(;G(71-'~ SAC
_ 1- Water Meter Size 5/8"; I";
/ . L.)" Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
This Application Becomes Your Building Permit When Approved
~ 1."'t1 ,a}
I Other
I TOTAL DUE
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I Paid
I Date
Building Official
Date
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 I
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 inspections (952) 447-9850, fax (952) 447-4245
.'......