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P - 48084NO�-�0-2011 03:05 Building Insp�ctians 763��72-3604 7b3-Sq2-4977 FAX PM STANDARD WATER CaNTRQL 7�3 537 i BUILDIlVG DATE ... V STI�? Ai�1�RE3S „_� "C�1TS APl�i.iCANT 15; O risQ�owr��v N,,,,,�; �'ENANT �p�; PHQNE: Ci1NTRACTOR NAME: S1J�MIT A CO�''Y' �F gTAT& I YOiJI�'�TATE LtCBNSH A'I�TD �$RTIFICATE QF ADDRF.� 11'+ISURANCB s►urm,u dF D�SC�$E WORIC BEINa NU�oF sQuARBS ._.. FA� SIZg;----- PROPOffi�U I�IGHT; RESIDE�''`�`IAL APPI�ICA'�'YON C��'X OF' FRIDLEY YOUR E-MAIi. AI�D1�S9 CE�T $il3C?i.E �A�i.'Y/riB'GV �ONSTRUCl71 TWO FAM1Y.'�'lNEW COI�TSTRUCI'tQN O BA3F�NT FiP1ISH O A40F ' d DECK O 3II}3NG a rre� �o� conrsmr��tnv q,wnrr�ox O MAIl1['ENANCF!ltFPAYri . �a.,�tonII., � o v;�s O A1ustllttum G Ott�cr W nv mus o�xm�as o�rts orro OR Fd�/ NEW QP'ENINQS•DESCliIBE 3IZE OF OPAN�IC} CiiANG�S Ae �� Plan Review Fire Sw'charge Su�^ch�tge Licensd Surcharge SAC CFl�rge Curb Cut Escrow Erodioii Con�ol Park Fte Sewer Mait: Ct�rge V, 0 �IOrJS�s 01�.Y 0 HOU3E � GAYtAG� O ATTAC� GARACB 0 DE'TACiii3U GARAGE � 1882 P.01 Pernut No, ; � � � Rec ' B • � � �. 01 STATE ZIf' �AS'�a�r' �ton�a.rNC� qug�r. 1, PatisUng FIo� Plea 2. Propoeed flaor plAn 3. Liot of Btr�CtWal ln�mberx to be ueed FOR NEW GON$Tit[7C7ION II�FCLLIDiNG I7ECKS. �ISoflit BIDING/80FFI'yYRA9C;L� '�DTI��C1N3. dc Pt3RC�S SC7BbIIT: D Trim REMOVEDt O'Y'F8 q NQ 1. Site P1attlSorvey `howing Wc cxisting stnrcnues 0 P+AeCia end Proposed Projec!• 2. Two sets of co�utrncHon piaox 3. EI1oTp CalCUlatione r.oca�roiar o� wnvnows �o� wnvnows - PttovtnB i�vu.c� artn MA�N'LTFAGTURE $TiC.'K8R ON yVINDOW. Al[]MBi� OF'C�+II�iDOW5 �I,UATION, INCLUDING 'fAE COgT dF Y.AABUR ArTD MATERIALS: 3ING T� 1997 �J.S.0 FEE SC��UI.�) S �'nl .�",�,,, See Back Page for Foe Schedule $ 65% vf Buildirig Pemtit Fea $ ,�^ .001 titnes the totsl job vsluotion � ,OOOS x Petsnit Valt�ation Minimutn SS.00 _S._..-.--.---, $5.00 (State Lic;�naed Resid�tial Cornracwre) $ 52230 per SAC Unit {Plans to M'WCC for fletcrmination} S Pt + 6 fi = R x$25= S^,�„ $ 5430 Coneervetion P1an Re�iaw $ �ee Detarnnined by Engineering $ Agreement t�ecesearY ( ) Non Necessar3' ( ) 71�iS YS A� ApPLiCA'ITpN FpR A P�RMIT•NQT VAL1D UNTII. PAOC8S31i� 1 horoby apply for a building permit d�d I aola�pwledge thst the infOrmstion abbve is complete snd accurate; thst the wOrk will be ia oonformance with the ordin�ces and codes of 'ty ridl aad with the Minnee,ote Construction Cpdes; thst I understat�d this is not a permit but onpy sn e�licstion far a ' aad o's �t to withaut e permit on site; that the warlr �will ba in acoa unce with the apprcwed pl�n in the cgse of 'ew an pproval oa f�1 s� /�d�P1^ nnrF � siaxa� c� ,�c.IC � N �• - NOV-30-2011 03:05 PM STANDARD WATER CdNTROL 763 537 1882 _ P.02 �►TA�C��►R!� WAT�R ��NTRO� 6937 l�Iceland Avanus Notlh 9379 8weneon Blt►d, A1 Ctyatol, hAN 56428 CNve� IA 60�?6 �+w�aus �t: �au�, aua�vr� sr.a�w ouunx �rw1 nr+-�w (1�+) rre,+�et � eo�io� ta�ol �oiee l�e! �•��oe yVaarpraoNr� 8wtan �r �e W�eoered N�na � _ IkldltMO �Y �/Z t D � �� ++on�. a�+ane c �1 G3 � S'��_ wa� �. c �y bnrolos # Nun� �. �1��T'�11�5'i, Ily�, w,►�.�.� F�ut (7� !i3'1•18�t � r�ne�teR ourar�re leari �o teool ora�est ph�) otltl��ee Job SMs+R?� ��. �'" Deds � Add�ws aP y��K � • �.,�_ Hom+ Pha�e t ? 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