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• BUILDING PERMIT APPLICATION CITY OF CENTERVILLE SITE ADDRESS: 1721 Westview OWNER'S NAME: Centerville Elementary PHONE 612 - 792 -5800 LEGAL DESCRIPTION: LOT , BLOCK , TRACT: CONTRACTOR: Centerville staff PHONE: CONTRACTOR'S LICENSE NUMBER: .- IL, 412; l L4/T — TYPE OF WORK: NEW ADDITION REPAIR OTHER X DESCRIBE WORK: Erection of school sign on boulevard (lit at night) ZONING CLASSIFICATION: ENERGY CODE CATEGORY: 1 2 APPROVED USE: ESTIMATED VALUE: $8000 TYPE OF CONST: SIZE OF BLDG: (SQ. FT.) SPECIAL APPROVALS REQUIRED: ZONING SOIL REPORT RICE CREEK WATERSHED FIRE DEPT. OTHER THE UNDRSIGNED HEREBY MAKES APPLICATION FOR A PERMIT TO UNDERTAKE CONSTRUCTION AS SPECIFIED ABOVE AND AGREES TO COMPLY IN ALL RESPECTS WITH THE BUILDING CODE AND ALL CITY OF CENTERVTT 1 F ODLNANCES AND TO ASSUME RESPONSIBILITY FOR EMPLOYEES, AGENTS AND SUB - CONTRACTORS AND CONSENT TO NECESSARY INSPECTIONS. ENFORCEMENT AND ADMINISTRATION OF THE MINNESOTA STATE BUILDING CODE IS A PUBLIC SERVICE AND IS OF NECESSITY, LLMITED IN NATURE. CONSEQUENTLY, THIS BUILDING PERMIT AND THE SUBSEQUENT BUILDING INSPECTIONS ARE NOT TO BE CONSTRUED TO RELIED UPON AS ANY TYPE OF WARRANTY, GUARNTEE, OR REPRESENTATION ON THE PART OF THE CITY THAT THE PLANS, CONSTRUCTION OR FINISHED PRODUCTS ARE NECESSARILY BY CONFORMANCE WITH THE PROVISIONS OF THE MINNESOTA STATE BUILDING CODE OR OTHER APPLICABLE CONSTRUCTION STANDARDS. FURTHER THE CITY ASSUMES NO RESPONSIBILITY OR LIABILITY FOR DAMAGES OF ANY NATURE ALLEGEDLY ARISING OUT OF THE ISSUANCE OF THIS PERMIT OR SUBSEQUENT INSPECTIONS,. APPLICANTS SI NATURE DATE **** * * * * * * *s * * * * * * * * * * * * * * * * * * * * * ** ass*** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** DATE PLANS APPROVED VALUATION BUILDING INSPECTOR BLDG. PERMIT NO.