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CITY OF LITTLE CANADA <br />515 Little Canada Road / Little Canada 1Vtinnesota 55117 / 484 -2177 <br />BUILDING PERMIT NS 1831 <br />JOB ADDRESS PROPERTY —I.0. NO. <br />2076 4,- CAGE S -7: <br />LEGAL LOT NO. ELK. TRACT (❑SEE ATTACHED SHEET) <br />1 DESCR. UNPLATTEDPROPE STY <br />0�r ER MAIL ADDRESS ZIP PHONE <br />2 (7‘0,e66 77%9f/ 1- ?076 AcAar Sf _CP0j crz 9v- c-dk,6,, <br />CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />3 <br />ENGINEER MAIL ADDRESS PHONE REG. NO. <br />4 <br />PLUMBING CONT. MAIL ADDRESS PHONE LICENSE NO. CITY STATE <br />5 <br />HEATING CONTRACTOR MAIL ADDRESS LICENSE NO. <br />6 <br />USE OF BUILDING <br />7 <br />8 CLASS OF WORK: ❑ NEW g ADDITION ❑ ALTERATION ❑ REPAIR ❑ GARAGE ❑ OTHER <br />9 Describe work: /0 K(0 . EEC Qncy 4774c c-16,0 Tl 6K't7,.v6 /)c-cK +- 1-1-:43-6, <br />10 Total No. of <br />Occupancy Type of Const, Sq. Peet Stories <br />No. of Required <br />11 Zoning Dwelling Units Parking <br />12 Special Conditions <br />/ <br />13 valuation of work $ / CO a. r e-C <br />Special Approvals <br />Required <br />Other Permits <br />Permit No. <br />Board of Appeals <br />Plumbing <br />14 Permit Fee $ S": O° <br />Planning Com{art —nt <br />Heating <br />State Surcharge $ , • .; O <br />Village CounciJ ,' <br />' ... ,. <br />%Etectrrical <br />Plan Check Fee $ <br />Special Use :, . <br />SAC Charge (Units) $ <br />Fire Dept. <br />)t(t•_% • Other (r,...r <br />Sewer $ <br />Soil Report <br />`, <br />1'j E1' 1 <br />Water $ <br />:n <br />Other r CI` V , <br />Park $ <br />r <br />4�r j LL �^ y - <br />Other $ <br />SITE PLAN <br />Penalty <br />}� <br />TOTAL FEE PAID $ dk - (J 0 <br />/' <br />5 Receipt No. Date — <br />11— — ef <br />SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, <br />HEATING, VENTILATING OR AIR CONDITIONING. <br />THIS PERMIT BECOMESNULL AND VOID IF WORK OR CONSTRUCTION <br />AUTHORIZED IS NOT COMMENCED WITHIN 120 DAYS, OR IF CON- <br />STRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD <br />OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLI- <br />CATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />PROVISION OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF <br />WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR <br />NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br />AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIGNATWBE OF CONTRACT01� OR AUTHORIZED AGENT (DATE) <br />i� // --9 / <br />,Lk..c /L�,Q /` /GGiv✓�•�i <br />SIGNATURE ,9F DWNER (IF OWNER BUILDER) <br />PERMIT ISSWED <br />BUILDING OFFICIAL <br />(DATE) <br />L —tI_-, C <br />IDATEI <br />NOTICE: Do Not Disturb <br />Page 14 Natural Drainage <br />