2003-08-13 CC Packet - Laserfiche WebLink

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..' , c~ .EoI~.18!'7 BUILDING PERMIT APPLICATION CITY OF CENTERVILLE SITE ADDRESS: J b , ~ 50- ~e l- S.,-. LOT: BLOCK: SUBDMSION: OWNER'S NAME: 17 AV I P P. J(. r c... ,,q~ CONTRACTOR 5 EL.F TELEPHONE#: 6 ~3-O311 CeLl. z.,~- 55"'2 LICENSE #: EXEMPT - Attach Documentation CONTRACTOR'S NAME & ADDRESS: TYPE OF WORK: NEW r.... ADDmON REPAIR OTHER D ;:;;--w - D ~ DESCRIBE WORK: -z. jJ" ~ 2. 'Z...' ~ltfLRqe: 1 J';1J ;e.Z1..' 5;iep ~ , ZONlNG' CLASSIFICATION: at- ENERGY CODE CATEGORY: 1 2 APPROVED USE: ESTIMATED VALUE: 9, '" 0 ~ . ala TYPE OF CaNST: I'(LJI J1 eo SIZE OF BLDG: (SQ. FT.): L( co t.t J 3 ,~ 9 ************************************************ OFFICE USE ONLY: ZONING: RICE CREEK WATERSHED: SOIL REPORT: FIRE DEPT.: _ OTHER: THE UNDERSIGNED MAKES APPLICATION FORE A PERMIT TO UNDERTAKE CONSTRUCTION AS SPEClFIED ABOVE AND AGREES TO COMPLY IN ALL RESPECTS WITH THE BUllDING CODE AND ALL CITY OF CENTERVILLE ORDINANCES AND TO ASSUME RESPONSlBIIJTY FOR EMPLOYEES, AGENTS AND SUB-CONTRACfORS AND CONSENT TO NECESSARYlNSPECTIONS. ENFORCEMENT AND ADMINISTRATION OF THE MlNNESOTA STATE BUILDING CODE IS A PUBUC SERVICE AND IS OF NECESSITY, LIMITED IN NATURE, CONSEQUENTLY, 1HIS BUllDlNG PERMIT AND THE SUBSEQUENT BUILDING lNSPECTIONS ARE NOT TO BE CONSTRUED TO BE RELIED UPON AS ANY TYPE OF WARRANTY. GUARANIEE. OR REPRESENTATION ON THE PART OF THE CITY lHAT THE PLANS, CONSTRUCTION OR FINISHED PRODUCTS ARE NECESSARILY BY CONFORMANCE WITH THE PROVISIONS OF THE MINNESOTA STATE BUILDING CODE OR OlEER APPUCABLE . CONSTRUCTION STANDARDS. FURTHER, THE CITY ASSUMES NO RESPONSmll.ITY OR lJABIUTY FOR DAMAGES OF ANY NATURE ALLEGEDLY ARISING OUT OF THE ISSUANCE OF THIS PERMIT OR SUBSEQUENT INSPECTIONS. tf7~ APPLICANT'S SIGNATURE DATE ******************************************* 7 -~o -o~ - $ /~ .r~I/ VALUATION BLDG. PERMIT if II