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<br />-l <br /> <br />BUILDING PERMIT <br /> <br />"" <br /> <br />CITY OF CENTERVILLE, MINNESOTA <br /> <br />Date: <br /> <br />Permit No. <br /> <br />Owner: 1").<\-1)1 ~ <br /> <br />Address <br /> <br />/67'S <br />, <br /> <br />t 1<- \. \ ll"rr-J <br />CoJU7Z- s.T <br /> <br />Builder <br /> <br />S~ <br /> <br />Address <br /> <br />LOCATION OF PROPOSED BUILDING <br /> <br />Zoning Classification <br /> <br />Number <br /> <br />Street <br /> <br />LEGAL DESCRIPTION <br /> <br />Part of Lot <br /> <br />Lot <br /> <br />Block <br /> <br />Addt'n or Sub-Diy. <br /> <br />DESCRIPTION OF PROPOSED WORK <br /> <br />Description: <br /> <br />,..-z-- <br /> <br /> <br />No, of Stories: <br /> <br />Type of Construction: <br /> <br />t:7~ ' <br /> <br />Occupancy <br /> <br />ValuationS /f,-:3' ~ U <br />{Contract of Market Value} <br /> <br />Area: <br /> <br />Description of Ordinance Variance(s) if granted with this permit: <br /> <br />CITY FEES <br /> <br />Parks Residential Equiv. Water Meter Storm Sewer MailbOX Other Total <br />Unit (REV) <br /> . <br /> Water Hookup S.A. C. Site Maintenance <br /> <br />PERMIT FEES <br /> <br />Fee Per Schedule <br /> <br />Surcharge <br /> <br /> <br />Permit Fee <br />Plan Review <br /> <br /> <br /> <br />Pem1ission ~ hereby granted t<) . to &. ,r<1~/ a building as herein scribed. <br />This permit is granted upon the ex ress condition th t the son, partnership, firm or corporation to woo 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 CentervilIe regarding the construction, alteration, maintenance, repair and demolition of buildings <br />within the City; and that this permit may be revoked at any time upon evidence of violations of any of the provisions of said Ordinances. L., 1 ~ . ~ 1 <br /> <br />Issuance of a building pennit is not to be construed or relied upon as a warranty. gunrantee, 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 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 pe:rmit. <br /> <br /> <br />The permittee further <br /> <br />mence the work covered by this permit within 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 and eighty (180) d , s shall result in the automatic revocation <br /> <br /> <br />PERMITTEE <br /> <br />By: <br /> <br />By' <br />