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TOTAL FEE $ PERMIT <br /> COLLECTED <br /> N2 <br /> HENNEPIN & RAMSEY COUNTIES, MINNESOTA <br /> CITY OF ST. ANTHONY • <br /> BUILDING PERMIT DATE - �� is <br /> STRUCTURE USED AS <br /> PERMISSION IS HEfREBY GRANTED <br /> J License # <br /> Contractor � Address Phone <br /> Owner Address Phone <br /> To carry out the work specified in this permit on the following described property, upon the express condition that said per- <br /> sons and their agents, employees and workmen, in such work done, shall conform in all respects to the provisions of the <br /> Village ordinances.This permit may be revoked at any time upon the violation of any of the provisions of said ordinances. <br /> Type of Construction: C/C�') G� G ' <br /> Addition Size: <br /> * Percentage of lot covered by structure: <br /> (*Site plan required) <br /> NUMBER STREET LOT I BLOCK ADDITION ORPLATE <br /> Comments: 6c O&o0 <br /> V" <br /> APPLICATION <br /> The undersigned hereby agrees that, in case such permit is <br /> Permit Fee: granted, that all work which shall be done and all materials <br /> ��e �� which shall be used shall comply with the plans and specifica- <br /> St. Surcharge: tions therefor herewith submitted and with all the ordinances of <br /> said Village applicable thereto. <br /> Plan Check Fee: <br /> SIGNED � <br /> SAC: <br /> Grade: <br /> Duane Grace: <br /> Total: BU1D1 �� r-0R VILLAGEoNfir <br /> INSPEGTOq • <br /> �i <br /> This building permit does-not cover the use of public property, such as streets, sidewalks, alleys,.etc., for which special permits <br /> must be secured; and that it does not cover the following: electrical, sewer,water, plumbing, heating, plastering work, etc. <br />