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HomeMy WebLinkAboutBuilding Permit 11. 0998 0 00000 0 "° 0 D 2 y ❑❑ d] O v" z - ' " oo z 2 o 73 m� ii o o o c = zu m m m m0 Cn b r o m m 0 Rt N -40> O 073 to r 0 Z m o 5 � ; z 0 O -4 * v 6 0 z z o J Z° O - - -n O n �, o z mm o z -i , xi r 0 X il r X 0 XI o 0000❑❑ b �f Z 7) O0 0 3 o r t g n � �3� O x z v o =3�Lm =3 - 0 0 n �. 70O , r -nW 7o 7) po z m 0 b 0 \ y N -4 D000 0 3 -i m Zi ‘5 , m 0 0 rZ00 23 Z F) CI C _, Cn - o Z ), vv O , • 0 O z 72 0 X m O0❑❑❑❑ ` �_ o m 0 00nm ') y z 2 � - t m z % r y 0 7o \ m !n �, "� Z z CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd O F PR/04b �O� / / 2 Pink C TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ` AND UTILITY CONNECTION PERMIT 7.) tr, 1. n City / 7.70 ke ie PERMIT NO. / / if iN N ESO � 3 Yellow Applicant (Please type or print and sign at bottom) ZONING (office use) ADDRESS b. o ©f) DOE -_ Da--- LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER t• (Phone) br 2 ' 3S 2 - —moo � _ � � LL /�_ n � Phone (Name) IN f� ` � __ \\ (Address) - ©Z W ool7WC --rj-- P&___ i . BUI ' n� //�� ,�,� A � /�+� ��3� ��Cti� ' & - ��AA,'v"t� (..J lL/ U � � (Phone) (Company Name) ,� b � � � l.{ ([� (Contact Name) C- 4V N (Phone) b ( Z ►� 000 If (Address) ���' /� • z c. .%4 r ` S WIT til TYPE OF WORK ❑ New Construction EDeck ❑Porch !I Re- Roofin g ❑Re -Sidin g ❑Lower Level Finish ❑Fireplace ❑Addition ❑Alteration ❑Utility Conne tion ❑ Misc. CODE: ❑I.R.C. ❑I.B.C. Do Type of Construction: I II HI IV V AB PROJECT COST /VALUE $ Occupancy Group: A B E F HI MR S U (excluding land) / Division: 1 2 3 4 5 • I hereby certify tat I above -ment o edtpro h g ay and that all co. - i o n 'o' , i• which is to the to all existing s ate and local laws and will proceed in ccordance with t _h submitted the plan owner am aware that he building • official can revoke thi p �... • mit fo au , 1 hereby agree that the city official or a designee may enter upon the property to perform needed ns •ctions. ) () L- -� Z X l . ce�— t \ Contractor's License No. Date ' Park Support Fee # $ Permit Valuation # $ Permit Fee $ SAC $ Plan Check Fee $ Water Meter Size 5/8"; 1 "; $ Pressure Reducer $ State Surcharge $ Penalty $ Sewer /Water Connection Fee # $ Water Tower Fee # $ Plumbing Permit Fee Builder's Deposit $ Mechanical Permit Fee $ $ Sewer & Water Permit Fee $ Other Gas Fireplace Permit Fee $ TOTAL DUE 1 $ T9 7r Gf /4/--- ecei No. & This Application Becomes Your Building Permit When Approved Paid /N Date Building Official Date This is sito gned ed by the Cit Planner rnstitt tes temporary Certificat accompanying f Zoning compliance and c allows construction t comm nce. Ordinance fore and ccupancy, a Certificate requested. ofOcct Occupancy must be when signs by Y issued 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