2008-10-07 P & Z Packet - Laserfiche WebLink

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tl-o SIGN PERMIT APPLICATION CITY OF CENTERVILLE SITE ADDRESS: /9f!;LJ CftN7:&L. S~E~r OWNER'S NAME: ..:::r::z;n P/ZOP=-/LTf' 1114W/fJIE-NifN r CONTRACTOR:,Y?L..- fSJ.AALD~jL~ TELEPHONE #: t/;E;1-131- m;, CONTRACTOR'S NAME & ADDRESS: .5"""~ mk/JI~JiL..J;;e;~ ' ~~#/ C14t-P~ HEidfl!&"/ MA/ 5~7~ TYPE OF WORK: NEW~ ADDITION _ REPAIR _ OTHER. DESCRIBE WORK: e;x€? FiiED/StAL 7Q/V . ZONING CLASSIFICATION:Ed- ENERGY CODE CATEGORY: 1 2 APPROVED USE: ESTIMATED VALUE: TYPE OF CONST: SIZE OF BLDG: (SQ. FT.): ************************************************ OFFICE USE ONLY: ZONING: SOIL REPORT: RICE CREEK WATERSHED: FIRE DEPT.: OTHER: THE UNDERSIGNED MAKES APPLICATION FORE A PERMIT TO UNDERTAKE CONSTRUCTION AS SPECIFIED ABOVE AND AGREES TO COMPLY IN ALL RESPECTS WITH THE BUILDING CODE AND ALL CITY OF CENTERVILLE ORDINANCES AND TO ASSUME RESPONSIBILITY FOR EMPLOYEES, AGENTS AND SUB-CONTRACTORS AND CONSENT TO NECESSARY INSPECTIONS. ENFORCEMENT AND ADMINISTRATION OF THE MINNESOTA STATE BUILDING CODE IS A PUBLIC SERVICE AND IS OF NECESSITY, LIMITED IN NATURE, CONSEQUENTLY, TIllS BUILDING PERMIT AND THE SUBSEQUENT BUILDING INSPECTIONS ARE NOT TO BE CONSTRUED TO BE RELIED UPON AS ANY TYPE OF WARRANTY, GUARANTEE, OR REPRESENTATION ON THE PART OF THE CITY THAT THE PLANS, CONSTRUCTION OR FINISHED PRODUCTS ARE NECESSARILY BY CONFORMANCE WITH THE PROVISIONS OF THE MINNESOTA STATE BUILDING CODE OR OTHER APPLICABLE CONSTRUCTION STANDARDS. FURTHER, THE CITY ASSUMES NO RESPONSIBILITY OR LIABILITY FOR DAMAGES OF ANY NA TURE ALLEGEDLY ARISING OUT OF THE ISSUANCE OF TIllS PERMIT OR SUBSEQUENT INSPECTIONS. D~~q3 ********************************************** DATE PLANS APPROVED $1I-PDJ.~ . V UA TION BUILDING INSPECTOR BLDG. PERMIT # L--_ ~__