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<br />I~~ <br /> <br />:,~ /"0 /~/ <br />SOlCbJNG<PERMIT <br /> <br />~ <br /> <br />,gl" /)" y" <br />. , .;; J~' , <br />....ate: _,.//,,;./1;,. ; <br /># " <br /> <br />CITY OF CENTERVILLE, MINNESOTA <br /> <br />Pennit No. <br /> <br />Owner: <br /> <br /> <br />t_, <br /> <br />LOCATION OF PROPOSED BUILDING <br /> <br /> <br />~ <br /> <br />Address <br /> <br />Zoning Oassification <br /> <br />Number <br /> <br />Street <br /> <br />Lot <br /> <br />LEGAL DESCRIPTIQN <br /> <br />I <br /> <br />Part of Lot <br /> <br />Block <br /> <br />Addt' nor Sub-Div_ <br /> <br />DESCRIPTION OF PROPOSED WORK <br /> <br />Description: <br /> <br />~ i'C."...." <br />t. h ""~ \,~"U <br /> <br />,...,' /"") j <br />~_) \1.... Os T LLLLnl ; A;- /.}T'S t':- <br /> <br />~\) CL_L.... rn,t';!l I !\rT <br /> <br />s; \ C~ AJ <br />. <br />, <br />'-....i <br /> <br />Type of Construction: <br />Occupancy <br />Valuation $ /'{;,,CC'. <br />, <br /> <br />No. of Stories: <br /> <br />-i'!tJ <br /> <br />" <br /> <br />Area: <br /> <br />(ConlraC! of Market Value) <br /> <br />(Largest Horizontal Cross SecriOIl) <br /> <br />VARIANCES <br /> <br />Description of Ordinance Variance(s) if granted with this permit: <br /> <br />Parks Residential Equiv. Water Meter Stonn Sewer Mailbox Other Total <br />_n~. Unit (REV) <br />-,._-- - <br /> Water Hookup S.A. C. Site Maintenance <br /> <br />CITY FEES <br /> <br />PERMIT FEES <br /> <br />Fee Per Schedule Surcharge Totals <br />Permit Fee <br />Plan Review <br /> " <br /> <br />Permission is hereby granted to to a building as herein described. <br />This pennit is granted upon the express conditiDn that the person, partnership, firm or corporation to who it is granted. together with his agents, employeees. workmen and <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 pennit may be revoked at any rime upon evidence of violations of any 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 permit is necessarily in conformation with (he 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 permit. <br /> <br />The permittee further agrees [0 commence the work covered by this permit withi.n sixty (60) days of the date hereof and to complete all such work by <br />Suspension or abandonment of such work for a period of one hundred aitd eighty (L80) days shall result in the automatic revocation <br /> <br />. s permit as provided by Ordinance. <br /> <br />PERMITTEE <br /> <br />BUILDING INSPECTOR <br /> <br />By: <br /> <br />By: <br />