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• <br />CITY OF LITTLE CANADA <br />515 Little Canada Road / Little Canada, Minnesota 55117 / 484 -2177 <br />BUILDING PERMIT N2 2079 <br />JOB ADDRESS PROPERTY -I.0. NO. <br />Pd ca' tAt2Tod sr <br />LEGAL LOT NO. BLK. TRACT (❑SEE ATTACHED SHEET) <br />1 DESCR.. UNPLATTED PROPERTY <br />OWN <br />2 <br />/AA �i/��/�� <br />\/ R i)7 Oa REt- ePli ' rr ZIP �/ -V —,// <br />li: /l�aaDDRE9SS <br />I PHONE/ 7y^/� ��LI EN$ENO. <br />CONTAACTO- /r <br />3 t % i, . U /^V!I lr, OVIA7 /� Z "V F�`•,�7v9c_s/ -4 (55z- <br />!' <br />ENGINEER MAIL ADDRESS <br />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 � ,tom • <br />IN -/' <br />8 CLASS OF WORK: ❑ NEW ❑ ADDITION ❑ ALTERATION /REPAIR ❑ GARAGE ❑ OTHER <br />// <br />9 Describe work: 1 Iw //1/O1nuS <br />( ` Y <br />10 Total No. of <br />Occupancy Type of ConEt Sq Feet Stories <br />No. of Required <br />Parking <br />11 Zoning Dwelling Units Parking <br />.-/ �Q,��,y <br />��p�� <br />12 Special conditions // 1� Vv be -C4 .ilta 74 °""°° • •C <br />13 Valuation of work $ <br />Special Approvals <br />Required <br />Other Permits <br />ermit No. <br />Board of Appeals <br />Plumbing <br />G <br />14 Permit Fee $ �2 ` J • 00 <br />Planning Comm. <br />Heating <br />State Surcharge $ 1,00 <br />Village Council <br />Electrical <br />Plan Check Fee $ <br />Special Use -- <br />SAC Charge (Units) $ <br />Fire Dept. <br />Other <br />Sewer .. $ <br />Soil Report <br />- -- <br />- <br />Water $ <br />Other <br />Park $ <br />Other $ <br />SITE PLAN <br />PAID <br />/; •1 <br />0 SEP 04 I9.9'i's0l <br />CITY OF LITTLE CANADA <br />Penalty $ <br />TOTAL FEE PAID $ CO •. <br />Receipt No. Date <br />SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, <br />HEATING, VENTILATING OR AIR CONDITIONING. <br />THIS PERMIT AUTHORIZED IS NOT COMMENCED WITHIN OR 0 K OR 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 I HAVE READ AND EXAMINED THIS APPLE <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 />TO VIOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION, /� <br />SIG7ATAIPE (ef7CON /RA 2OR Q&-,1N H {�R�@� AGEp /(DAtTE) <br />S GNATUR OWNER OF OWNER BU DER <br />ERMIT ISSUED <br />BUI <br />DING OFFICIAL <br />(DATE) <br />NOTICE: Do Not Disturb <br />(DATE) Page 25 Natural Drainage <br />