P - 35213From: unknown
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Page: 2/2 Date: 7/20I2011 8:34:19 AM
Building B►LTILDIN .C"x
Inspections ��I��NTIAr, ,A�,PPLYCATZON
763-572-3604 CITY ()I�' �`RY�Y.,E�
763�502-4977 �AX ��rCCrrv�e�-�-soi�
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Pian Review
Fire Surc6arg�
Surcharge
Lic�nse Surcharge
SAC Ghstgc
Curb C;ut Esem�r
�asiar► C�n#al
P�rk Fet
Sov►ror Main C�►ar;ge
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Per�nit No
Received Byt�V t'A' 4L/
Date � ° .� � � 2� �'��
BASE�MBNT RBhIODELIiYCi S AAli'y'�
l. Bxiapng fiJaorPt�n
2. Proposcd ilnat plaa.
3. Last af stfticiura! mamtiors to be �cd'
PGtt �l��f GdNBTtLUCTK1k�T rNCC�Ii�iNfti LfEC�S,
nnn�rrr��ta_a_ � ?!�R�^HFS �r��utrt�;
1, 3ite PtarYSu►w�y sl�otiving the e�a�ing emict�as
and praposed pm�ec[.
�. Two sets oP canstnuKion piana
3. Tnerg�y C�lcutarcio�s
FUR WIN[)dW3-PROVIQE C�-'VAY.C+ifi AitiO
Mat�JrAGTU�.E S'f1ClCETt ON'VVMDOtV.
See Ba�k Page for �ee Schedufe � .��
65°!0 of Buiiding Pennit Fcc ��
.001 tirncs the total job valuattan
.tt�45 x Pcsmit valuation Minirnum $5.Ofl
$5.00 (State Licenstd Residentia! C4ntt'ACtors)
$2230 per SAC �nit (ptans to MWCC fox dotermination)
fi + 6 ft s fi x��5� $
$450 Gons�rsration Plan Revicw
Fee Deter�ined by l�.ngineering
A�ratment ntccssarY i 1 Non t�lecess�rY ()
�rxis rs nrr n��rca�rYarr r�� n�rr-xar v��,m u�ra raac�ss�n
1 h�reby apply €or A bttildittg pertnit and I aeknc�wl that the inforntatio» above is eornpl�te and accurat�; tFiat the wotlr �rill bc in
cot►faim�nca wiih the ordinattces and codts of the City of d` with the Minnesdta Construetinn Codos; titat I tiindr.rst�nd this is not a
permit but anly �n �pplic�ti� for pexrnit and wark is n to sta wishout a permit on site; that the work wili be jp ec�ordanc� rvith the
approved pl� in thc case ��l}�rq�;�l�p}l�iy�s revi a d a roval of»lsns. i_ ../�h�, _ �►./�7., n�/.e