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<br />BUILDING PERMIT <br /> <br />CITY OF CENTERVILLE. MINNESOTA <br /> <br />Date: <br /> <br />Pennit No. <br /> <br />I Ow~ ~;~~ <br />Address I b '7 ~ <br /> <br />~ ~~N <br />ColU?Z- ~T <br /> <br />1= <br /> <br />s~ <br /> <br />WCATlON OF PROPOSED BUILDING <br />Number <br /> <br />Zoning Classification <br /> <br />Street <br /> <br />Part of Lot <br /> <br />LEGAL DESCRIPTION <br />Lot I Block <br /> <br />DESCRIPTION OF PROPOSED WORK <br /> <br />Addt'n or Sub-Diy. <br /> <br />I. <br /> <br />Description: <br /> <br />Type of Construction: <br /> <br />Occupancy <br /> <br />Valuation $ If" 3' ~ N <br />(Commct of Mm'ket VaJIIll) <br /> <br />3-- '10- <br /> <br /> <br />No. of Stories: <br /> <br />I'l~ <br /> <br />Area: <br /> <br />Description of OrclimUlce Variance(s) if granted with this penn it: <br /> <br />Parks Residential Equiv. Water Meter Stonn Sewer Mailbox Other Total <br />Unit (REU) <br /> Water Hookup SAC. Site Maintenance <br /> <br />CITY FEES <br /> <br />PERMIT FEES <br /> <br />Fee Per Schedule <br /> <br />Surcharge <br /> <br /> <br />Permit Fee <br />Plan Review <br /> <br /> <br /> <br />Pennission is 1~'CbY granted to ~ ~...._ / ~ J ~.A to C~~~ a building a.~ hen:in 'bed. <br />This permit is granted upon the ex n:ss condition lb!i the II. pIlrtnership. firm or corporati to w it is granted. together with his agents. employeees. workmen ami <br />subcontractors agree to abide by and conform to all Ordinances of the City of Centerville regarding the construction. alteration. maintenance. repair and demolition of buildings <br />within the City; and that this permit may be revoked al any lime upon evidence of violations of any of Ihe provision.~ of said Onlinnnces. L., 1 ~ . q 1 <br /> <br />Issunnce of a building permit is nolto be construed Dr relied upon as a WUffiUIlY. guarantee.. or representation on the part uf the Cily Ihll1 the eon.~ruction or finished product <br />covered under lhis building permil is neces.~arily in conformation with the Slate building code or oth.:r applicable eon...1ruclion slandards. The City a.<;.~umes no responsibility or <br />liability for damages arising out of the is.~uance of this building permit. <br /> <br />The permittee further mene!: the work covered by Ihis permit within sixly (60) da)'s of the dole hereof and tQ complete all such work by <br />. Su~sion or abandonment Dr such work for a period of one hundred and eighty ( 180) s shull result in the uutornntic revocation <br />of Ihis permit as provi by 0 mance. <br /> <br />PERMITIEE <br /> <br /> <br />By: <br /> <br />By: " <br /> <br />, g" <br />