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CITY OF LI I I LE CANADA <br />515 Little Canada Road East • Little Canada, Minnesota 55117 <br />(651) 484 -2177 • Fax: (651) 484 -4538 <br />BUILDING PERMIT NO. t' r! <br />,Address — <br />Legal Description <br />��f ' {/ / /T_ ,% Property I.D. No. / <br />1 i t�� //! J /1 ice. - � C7 »G r <br />Lot No. Sik. Tract (tae attached sheet) Unplatted Property <br />OwparC, .1 Mailing Address <br />I "ti (_ (..2:1; s •C i 5 <br />Mailing Address <br />-> <br />Contrc(?r ) / <br />.C%� <br />Engineer / Architect 7—_ <br />Plumbin ContraFtoj <br />2 //T <br />Mailing Fedcess <br />F�2v <br />Zip <br />Phone <br />Mailing ddrep <br />Zip <br />Phone Licenses No. <br />Zip <br />Phone Reg. No. <br />Zip <br />Phone Licenses No. <br />Heatin ractor `-- Mailing Address\ rte- Zip Phone <br />�- 1 Licenses No. <br />/O /mac 7 er ' kr,:c- (<,r Se�= <br />Use aF 8 ildi g , <br />/22c% 6.1 CATEGORY 1 ❑ 2 ❑.. <br />Class of Work ❑ New _ ddition ❑ Alteration 0 Repair ' C Garage ❑ Other <br />Describe Work/ ,/fin // /' / To <br />Ocdu ncy Type of Const: <br />C ,/cif c"..1 Total Sqr F sty,/ 7 <br />Zoning 1 /�C /g U <br />AL". .. No. of Dwelling Units <br />S t <br />7 % 62 / /(4 (---1 <br />Special Conditions <br />No. of Stories. <br />equired Parking <br />V •ation of Work $ G-!� ^) <br />0 <br />Permit Fee (1) R- 101 -32210 •-$, <br />State Surcharge G- 101 -20821 $ <br />Plan Check Fee R- 101 -34104 $ <br />SAC Charge (Units) G- 101 -20863 $ <br />Sewer R- 450 -37260 $ <br />Water R- 450 -37160 $ <br />Park R- 456 -34105 $ <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 IFCONSTRUCTION OR WORK IS SUSPENDED <br />OR ABANDONED FOR A PERIOD OF 120 DAYS ATANY TIMEAFTER 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 BE 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 />Sim-muse-of Contractor or AutDoxizee, Xgenr Date <br />Sig, iat r -Ckner Of Owner divider) Date <br />PERMIT ISSUED <br />3wlding Uificial Dare <br />Attachme,-I1845 <br />/ <br />T <br />