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<br />BUILDING PERMIT <br /> <br />CITY OF CENTERVILLE, MINNESOTA <br /> <br />Date: <br /> <br />Permit No. <br /> <br />Owner: Ant' \(~ (""...~~:\ <br />Address <br /> <br />H~k <br /> <br />! Builder ~ v-\ ~.~ <br />Address 17/-; 'U~ \(;,"'" Q....~)"- <br />LOCATION OF PROPOSED BUILDING <br /> <br />(..{..... ') <br /> <br />Zoning Classification <br /> <br />H- 2- <br /> <br />Number <br /> <br />street <br /> <br />Part of Lot <br /> <br />Lot <br /> <br />LEGAL DESCRIYTION <br /> <br />I <br /> <br />Block <br /> <br />Addt'n or Sub-Div. <br /> <br />DESCRIPTION OF PROPOSED WORK <br /> <br />Description: ,~i c.y- H ,,--.-<.-<...,' vi '3 <br />Type of Construction:.- V - A. <br />Occupancy ----P',:,. 'Z- <br />Valuation $ .~ ,4~,c.oCJ Area: <br />I <br />(COllttact of Market Value) <br /> <br />No. of Stories: <br /> <br />(Largest Horizontal Cross Section) <br /> <br />VARIANCES <br /> <br />Description of Ordinance Variance(s) if granted with this permit: <br /> <br /> <br />CITY FEES <br /> <br />Residential ~quiv. <br />..d.lnil (REV) <br />J(;, ac..e:o ~4, ~ <br />~ -.. <br /> <br />'31 '-\..V.I'tS/Z.S~ 12.....' <br />1'2. ~ 1350--::. If.,uc, <br /> <br />Water Meter <br /> <br />Stonn Sewer <br /> <br />Mailbox Other <br /> <br />Total <br /> <br />S88:S. <br /> <br /> <br />tO~a:, <br /> <br />Water Hookup <br /> <br />Site Maintenance <br /> <br /> <br />r., '2PD,.c.O <br /> <br />, .....v <br />/8 CC6"""-' waf <br /> <br />'2CCJ <br /> <br />22.5. cO..,..,...: <br /> <br />PERMIT FEES <br /> <br />FeePer Schedule Surcharge <br />Permit Fee vJ<:L:.,lL <br /> <br />Totals <br /> <br />Plan Review <br /> <br /> <br />t..J~ ~ .>C <br /> <br /> <br />JO')..O. CO <br /> <br />/7'J.?-c.a:Y <br /> <br />Pennission is hereby grnnted 10 A-Vl",,\l"'--... CcL.\.~ 0- ~. to Cr:>."\.*. '-'-<-rr--' a building as herein described. <br />This permit is granted upon the express condition that the person, p ershlp. firm or corporatIon to whQ It IS granted. together with his agents, employeees. workmen and <br />subcontractors agree to abide by and confonn 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 pennit lJ1aY be revoked at any time upon evidence of violations of an)' of the provisions of said Ordinances, . <br /> <br />Issuance of a building permit is not to be construed or relied upon as a warranty. guarantee, or representation on the part of the City that the construction or finished product <br />covered under this building pennit is necessarily in confonnation with the state building code or other applicable construction standards. The City assumes no responsibility or <br />liability for damages arising out of the issuance of this building penuit <br /> <br />The permittee further agrees to commence the work covered by this permit within /fl:r:;:, ) da <br />. _ Suspension or abandonment of such work for~.p riod 0 one hun <br />of this permit as provided by Ordinance. ( <br /> <br />PERMITTEE <br /> <br /> <br />and to complete aU such work by <br />sh 1 result in the automatic revocatio <br /> <br />By: <br />