HomeMy WebLinkAboutBuilding Permit 07-0882
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~. ':: ~~ I PERMIT NO. 07. 0 e o~ z.1
3. YeI10w Applicant . V .
ZONING (office
use)
/(;051 NoreM
Re-adNuJ
LEGAL DESCRIPTION (office use only)
(jg UO'1 ".5 II..{ I
LOT' BLOCK ADDmON)\x)r:..
PID ~O -I" :l-O
OWNER
(Name) /-!AKdd Ch7d 4.eIlA9l1N FIf'I(t;sON
(Phone) q..;.;;. Qc(7. 4I3VO
(Address) I~ tJ.5/ /Vol6#!
)Va)
IO~ &rlc-e h?/'i 65~?d{
BUILDER /) 1_
(Company Name)7l' Sid,'ttq ;J;;()/1JSio/Jl1"
ItS!. ,,)5'3. ~-5So
(Contact Name) NA--/Vc'1 ;/.>JtKlnCf
(Phone) !/S /. ".73'.5. .:;:f!/c(
(Phone) M I. ';:;55. ;;>>(/q y&:> /
lYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition DAlteration Dutility Connection
Re-Siding OLower Level Finish 0 Fireplace
CODE: OI.R.C. OI.B.C. o Mise:
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/V ALUE
$ ~( ,:J5 0 !f).
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 this permit for just cause. Furthermore, I hereby agree that the dty official or a designee may enter upon the property to perform
needed inspections.
X -I/AI/~ ~A"'l6
~0311108'
Contractor's license No.
9/lofc:!
ate
IGe~iD .$7'-.00 1. /+.07
f2.Ece/~T ;Ie. 5 +~1-'3