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<br />FRCt1 : <br />/Cf;NT <br /> <br />~ ~' <br />PHONE NO. 651 429 8529 <br /> <br />.,.,....,_..~'"""--..._-,.,.~-"....--~.'''''"..=,."..,.~ <br /> <br />Jun. 19 2001 11:20AM Pi <br /> <br />/ <br /> <br />BUILDING PERMIT APRLlCATION <br />CITY Ol'TENTERVtrJ"E . ... <br />;t SrrnAbDRESS: ?f) y .05i~~~"~~Okl'h),J) <br /> <br />-* OWNER's NAME: erv~+ ~1!H~NE:~~'o'(l~~~31 ~I <br /> <br />LEGAL DESCRIPTION: LOT ,~~, ELOCK ;<.. ,TRACT: .JJu...,~ ~~ <br /> <br />-* CONTRACTOR~~ ~ ~\4Mer P:OO~: '7"b3-rz,c. 7--'d.7 Jd.- rr <br /> <br />~TRA,CTOR'S NAME & ADDRE.'/S: llCENSE NUMBER.: ~ rf6 cl.-'3:. 'L D <br />~J a I-"V\.t'.s< L (!..A<t~r'hOtV"\: .. 'Vl./ I~S- l.cn~ Sl-_ E. :tf-Jt>.." ~ hW- <br />. . I / . I <br />'" TYPE OF W~RK.: NEw ~ ADDmON. REPi"JR 'O'ffiER: <br /> <br />~DESCRIBEWORK ~~~ -6~ -M-ml~ <br /> <br />ZONING CLASsmCAtION: ENERGY CODE CATEGORY: 12L 2-.:- ' <br /> <br />APPRO~ USE:. sf:, ESTlMATED VALUE:'-:. ;;:::llD) [) Q.:) <br /> <br />TYPE OF CONST:~IZE OFBLDG: (SQ. FT.) I; (""yo <br /> <br />*~~*~.~***.***.***~**...++*..*+.~~~..***....*.$***.**..~~~~.**....**~... ' <br /> <br />OFFICE USE ONLY.: ZONING <br />RICE CREEK WATERSEEO <br /> <br />SOIL REPORT <br />FIRE DEPT. <br /> <br />OTHER <br /> <br />1Rl! UN]}ll.slGNED!iUEBY ~LroAn"N-'''lbU_.'ro-UllD&R1'hKE CONHR=ON-....,S~E~1IIl <br />ABOVE AND AlilU:l!S TO ~'OMPLY IN All. llllPECTS WITH 1m; BUn.oING CODE AND ALL arrr O'~ENTER I1I.l.! <br />ODlNANCEs AND TO ASSWE llE!lPONSIllll.rn" FOll EMl'l.o=. AGtl>TrS AND SUB-CO~ORs AND CONS1M' <br />TO NECESSARY Il'lSncuoNs. <br /> <br />',. <br />.- <br /> <br /> <br />I'NFORCE:Ml\Nr AND AJ:lMlNISTllATIGllH'PI'IIE ~"-sr~O-COOE IS "P1JBl.lG =-<IGE. ""'Dill <br />OF~ITY. LIMrn;D 1N1'/Al1Jl<P.. ~Y. 'lmsllQILDlNG PrnMIT AND TIlE SUEsF.QUl!:NnlUILDINO <br />Il'ISl'Ecncms ARE NOT TO BE CGNSU-UED TO ll1WED UPoNAS ANY TYPE Of IVARllANTY. GlJARNI'I!E, oil. <br />RD'U>DIrATION 0N'TB:EPW0l'1lIE CDT!1rA.T TID:PUNs. CoN5T.1lUcnON OJ\ffiIIs= PJl.ODUcrS "-It! <br />IlECEsSARlLY BY CONFClJ<l.tANcJ:: 1l/JIH.'IBJi l>aO"lSIO'l'lS QF.= MINNLSOTASTATF.BLIIUlINGGGOF,Oll. O'fllER <br />Al'PlJCABU; CONS'IRlXlmN STANDAllDS. R11ITllER. nm CITY ASSUlrlES NO' llESl'O;ISffilLtIY ORI~BII_r:rnOll <br />DAMAGES Of ANYNAl1JIlEAllEGEDZ;~ ARllllNGour QF DiElSSUANCE OfTHlS P.ElWlTORSlJllSEQUENT <br />INSl'l!CJIDNS. '-- . <br /> <br />~ <br /> <br />PLICANTS SIGNA'.rl.mE ~ DATE <br />*** ~~.~*.*. .~* ...~+..~..**..*~*~.*~**~***.*~****...**.*...***~~~~., <br />. ~. 2r5h.tt: . <br />VALUA...110~ <br />O?y03~ <br />BLDG. PE/iMIT NO.. <br />p-ru\'ousl ~ 4! <br />11 ~'EJ J\l~ <br /> <br />> <br /> <br />.B <br /> <br />~ <br />