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CITY OF LITTLE CANADA <br />515 Little Canada Road East • Little Canada, Minnesota 55117 <br />rc (651) 484-2177 • Fax: (651) 484-4538 <br />,y d <br />BUILDING PERMIT NO. ~~''" ~ ~~ <br />[ b'l~ <br />/ ~ ~ .~ ~: ~ ~ ~ / rNUI'llY LV. IVU. <br />Legal Description Lo[ No. BIk. Tract (~ ee attached shee[) Unplatted Property <br />Owacrt"~ n -) / Mailing Addre s Zip Phone.,, <br />ContracWrt ~\ <br />( <br />m Mailing AtltTess '\ <br />~ <br />) Zip Phone Licenses NO. <br />Ji / <br />~^ <br />Engineer/Architect- ~ Mailing, ~ess Zip Phone Reg. No. <br />A~ i Gam, <br />Plumbin Contraytoo-~ Mailing ddr4~s Zip Phone Licenses No. <br /> <br />Heatin ractor <br />/ _ <br />~° '~- Ma ing Address !- <br />, T/ti , ni r ~ , <br />~- ter S'C'E- Zip Phone <br />Licenses No. <br />Use of e ildipg <br />~/) <br />ij <br />~~~~ ~/ <br />'i L~~ <br />CATEGORY 7 <br />^ 2 C <br />g, <br />,. ~ <br />C <br />J „ <br />Class of Work ^ New ddition J Alteration Ci Repair ~ ^ Garage ^ Olher <br />Describe Wor <br />~? r ~c~, =~~=~ <br />`~,~ ,-~%<-~ r'~ >i~~ <br />! 1 <br />C~ -~ ~/~~ <br />,~- <br />%/ ~ C <br />~~ <br />Occu ncy ~ <br />Type of Const <br />/~ ~ ~ / . - <br />Total S ~ F et ~ S <br />~ <br />; "~ No. of 9tori~~// <br /> J <br />Zoriing '7 ./ <br />i~ ~ <br />t No. of Dwelling Units equired Parking <br /> <br />Special Conditions <br /> <br />V_, .anon of Work S / <br />~Y <br />~ /~~) ~+:;. ~-'~ ~~ <br />~ <br /> G <br />~ / <br />~ .l U./ ~ .~ i~"ZJ <br />rermn ree .....................................(1) R-101-3227 0 ~ ~ <br />State Surcharge .................................G-701-20821 $ <br />Plan Check Fee .................................. R-701-34104 $ <br />SAC Charge (Units) ............................G-101-20863 $ <br />Sewer .................................................R-450-37260 $ <br />Water .................................................. R-45037160 $ <br />Park ....................................................R-45634105 $ <br />Other ........................................................................ $ <br />Penalty ..................................................................... $ <br />TOTAL FEE PAID ................... $ <br />Receipt No . ............................. Date <br />SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, <br />VENTILATING OR AIR CONDITIONING AND FIRE SPRINKLERS. <br />THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED <br />IS NOT COMMENCED WITHIN 120 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED <br />OR ABANDONED FOR A PERIOD OF 720 DAYS ATANY TIME AFTER WORK IS COMMENCED. <br />I HERBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW <br />THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL RE COMPLIED WITH WHETHER SPECIFIED <br />HEREIN OR NOT. THE GRANTING OFA PERMIT DOES NOT PRESUME TO GIVEAUTHORITY <br />TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW <br />REGULATING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION, <br />aiananueor contractor or AUt7mi?eryAgem Date _ <br />~ ~ 1.... <br />Siy,;araLl~r-dwner Ilf Owner Gunder) Daie <br />PERMIT ISSUED r ~' D I,: p ~ q I <br />Gwldmg Olhc~al Date ~ ~ e I ~ . I ~ I , - ~ t-tat - <br />i <br />A~ta~hr~er~~ #~ <br />