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• <br />CITY OF LITTLE CANADA � <br />515 Little Canada Road / Little Canada, Minnesota 55117 / 484 -2177 <br />BUILDING PERMIT N2 2078 <br />JOB ADD- ESS PROPERTY —I.D. NO. <br />7 0 ?- too ezcrv...v <br />LEGAL LOT NO. BLK. TRACT ( ❑SEE ATTACHED SHEET) <br />1 DESCR. UNPLATTED PROPERTY <br />OWNER MAIL ADDRESS ZIP PHONE <br />2 O N N A( /,4N D76a- EDG[snra,--" q- 6n -f ;s7 w- 22y-477( <br />T <br />CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. <br />3 S,{i vii e- ` - ---- -_ ____. — <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 WOR K: ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ GARAGE ❑ OTHER <br />/❑ <br />I..�. n. <br />9 Describe work: C ttfrti v-C A f itch W t° I C d 19°2 0 2 <br />Q°f e Total No. of <br />10 Occupancy Type of Const. Sq Feet Stories <br />11 No. of Required <br />Zoning Dwelling Units Perking <br />12 Special Conditions - <br />13 Valuation of work $ /S(, 0 ,`. <br />Special Approvals <br />Required <br />Other Permits <br />Permit No. <br />Board of Appeals <br />Plumbing <br />14b Permit Fee - $ .( ,t t <br />Planning Comm. <br />Heating <br />State Surcharge - $ ' 7,00 • <br />Village Council <br />Electrical <br />Plan Check Fee . . $ <br />Special Use <br />. . <br />SAC Charge (Units) $ <br />Fire Dept.. <br />Other ' <br />.Sewer S' - . <br />Soil Report <br />.. <br />Water $ <br />Other - <br />Park $ <br />Other $ <br />SITE PLAN <br />�° 'y, <br />,t <br />SEP O4 1990 <br />CITY OF LITTLE CANADA <br />Penalty $ <br />!1 <br />TOTAL FEE PAID $ (Ql' _ <br />Receipt No. Date /.. 9,0 <br />—L, <br />SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, IICA PLUMBING, <br />HEATING, VENTILATING OR AIR CONDITIONING. <br />THIS PERMIT BECOMES NULLAND 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 ANYTIME AFTER WORK IS COMMENCED. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLI- <br />CATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL <br />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 />AUTHORIT TO IOLATE OR CANCEL THE PROVISIONS OF ANY <br />OTHER S TE , LOCAL��AW GULATING CONSTRUCTION OR <br />THE PER •RM �• CE OF dnl,l ST CTION. <br />C <br />SIGNATU% OF CONTRACTOR 0 AUTHORIZED AGENT (DATE) <br />SIGNATURE OF <br />NER (IF OWNER BUILDER) <br />MIT ISSUED <br />BUIL'ING OFFICIAL <br />(DATE) <br />y <br />(DATE) <br />NOTICE: Do Not Disturb <br />Page 26 Natural Drainage <br />