Laserfiche WebLink
BUILDING PERMIT APPLICATION <br /> CITY OF CENTERVILLE <br /> SITE ADDRESS: _ V� ¶ ( V /4-71 �� <br /> f� jt t — <br /> OWNER'S NAME / / 91 V I" / 5 / 4c PHONE: 0 7 - <br /> if <br /> LEGAL DESCRIPTION: LOT , BLOCK , TRA t ;' <br /> CONTRACTOR: /1 V tt'-r PHONE: , - rL`; <br /> 1 CONTRACTOR'S NAME & ADDRESS: LICENSE 1, <br /> /' is <br /> TYPE OF WORK: NEW ADDITION - ,il t ! i'I <br /> DESCRIBE WORK: s e — <br /> ZONING CLASSIFICATION: s <br /> APPRO D <br /> - <br /> TYPE •,- <br /> - s t 1 ;IF T) I l <br /> * * ** * *rs'• ** * * * * * * * * *** . * * * * * * * ** <br /> 1 <br /> O ` O : ZO i L' • <br /> RIt K WATERS la _�, NW D OTHER <br /> I .;:, �. NED HEREBY MAKES I°' L 1. r •" " TO, i l; 1 CONSTRUCTION AS SPECIFIED <br /> ; AGREES TO COMPLY 1 , . ' THE B , -11E AND ALL CITY OF CENTERVILLE <br /> 01 . AND TO AS „' 1. PO f,..: _ ' LOYEES Alf a SUB - CONTRACTORS AND CONSENT <br /> �.•YINSPEC' <br /> a( AND • • TIO SOTASTATE� mo t- aINGCODE IS A PUBLIC SERVICE AN) IS <br /> 1 G L , • . Cl .,, -� U Y, THIS BUILDING PERMIT AND THE SUBSEQUENT BUILDING <br /> "i S ARE NO r +n_ . ONSTRUED TO RELIED UPON AS ANY TYPE OF WARRANTY, GUARN]'EE, OR <br /> 1 • TION O ,' T OF THE CITY THAT THE PLANS, CONSTRUCTION OR FINISHED PRODUCTS ARE <br /> Y BY C •' 1 CE WITH THE PROVISIONS OF THE MINNESOTA STATE BUILDING CODE OR OTHER <br /> CON c -',j STANDARDS. FURTHER, THE CITY ASSUMES NO RESPONSIBILITY OR LIABILITY FOR <br /> a =. • ALLEGEDLY ARISING OUT OF THE ISSUANCE OF THLS PERMIT OR SUBSEQUENT <br /> 3,d tf.C� Z-e 9-0 ANTS SIGNATURE D <br /> //j/ 74 $ /S /`. <br /> DA PLANS APPROVE VALUATION <br /> BTJII.,DING INSPECTOR BLDG. PERMIT NO. <br />