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<br />BUILDING PERMlT APPLICA nON <br />CITY OFCENTERVILLE <br /> <br />SITE ADDRESS /8' 7/ $/9/N .571?a'!i'/ /::~v,et47S /ifv? h/~~ <br />/ <br />OWNER'S NAME LdtJ .{J,iVU/.A/h . PHONE b/.2 - 8';23 -I.:' 7/ g' <br /> <br />LEGAL DESCRIPTION LOT , BLOCK , TRACT <br />. U/3 <br />CONTRACTORSff~v;1? .5J,W./ S~/J15 PHONEb5/- ~2 ~ <br /> <br />CONTRACTOR'S NAME & ADDRESS LICENSE NUIvIBER: <br />.5:beo F:L.lA/7 :/~/,,(./ A/.#-"l/..t/~",htA/ S-S-09z <br /> <br />TYPE OF WORK NEW L ADDITION REPAIR <br /> <br />OTHER <br /> <br />DESCRIBE WORK: //I6'~,,?,L. ,3'/4'8'1.:;t;i.t.k'A'/-VA$O WAt? /nd"J/A// .:>'"/6--/ <br /> <br />ZONING CLASSIFICATION <br /> <br />ENERGY CODE CATEGORY 1 <br />ESTIlVIATED VALUE 4-;".600",0 <br /> <br />2 <br /> <br />APPROVED USE: <br />TYPE OF CONST ~w' <br /> <br />SIZE OF BLDG (SQ. FI.) <br /> <br />************************************************************************ <br /> <br />OFFICE USE ONLY. ZONING <br />RICE CREEK WATERSHED <br /> <br />SOIL REPORT <br />FIRE DEPT <br /> <br />OTHER <br /> <br />THE UNDRSIGNED HEREBY MAKES AFPUGATIGN-FGRA PERMIT TDIMDERT-AKE CONSTRUCTION-l'&SPECU'IED <br />ABOVE AND AGREES TO COMPLY IN ALL RESPECTS WITH THE BUILDING CODE AND ALL CITY Of CENTER VILLE <br />ODINAl'lCES .WD TO ASSUME RESPONSlBlLlTY fOR EMPLOYEES. AGENTS AND SUB-CONTR~CTORS AND CONSENT <br />TO NECESSARY INSPECTIONS. <br /> <br />~~IFORCE~Am";T .~'lD ADtv1.lNlSTR..:A::TION.OF THE 1oIlli-NESQ::FAB:rA'EE-Bt1ILDING.CODE IS A PUBHG SE-&\1GE AND IS <br />Of NECESSITY. LIMITED 1N NATURE. CONsEQUENTLY, THIS BUILDING PERMIT AND THE SUBSEQUfu'lT BUlLDlNG <br />INSPECTIONS ARE NOT TO BE CONSTRUED TO RELIED UPON AS ANY TYPE OF WARRANTY, GUf\RNTEE, OR <br />REPRESENTATION ON TEE PART OF THE CITYTIiAT THE PLWS, CONSTRUCTION OR fINISHED PRODUCTS ARE <br />NECESSARlL Y BY CONFORMANCE WTIH THE PROVISIONS OF THE MlNNESOT A STATE BUILDINGCODR OR OTHER <br />APPUCABLE CONSTRUCTION STANDARDS. FURTHER, THE CITY ASSUMES NO RESPONSIBIIlTY OR LIABILITY FOR <br />DAMAGES OF ANY NATURE ALLEGEDLY ARlSINGOTJT OF THE ISSUAl'lCE OF THIS PERMIT OR SUBSEQUENT <br />INSPECTIONS. <br /> <br />~~ <br />APPLICANTS SIGNATURE <br /> <br />~P'f~/ <br />DATE <br /> <br />************************************************************************ <br /> <br />DATE PLANS APPROVED <br /> <br />$ <br />VALUATION <br /> <br />BURDThTG ThTSPECTOR <br /> <br />BLDG. PERNllT NO. <br />