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P - 48220From: 763 274 0502 Page: 1/2 Date: 12/22/2011 3:49:19 PM �� v„��N v�v...a�.� �.v��v..�..n��y r..v �� vvv� $u�ldillg $�J�,DY�(� Pemaic Inspections RESIDENTIAL APPLICATICIN � 763-572-36�4 `� 763-SU2-4977 F�4X �IT�' OF I+'RIDLEY ate EFFEGTtVE I I-2a'I1 DATE Jal ".[+o� �+rSG / SPTE AI3DRE55 c��,' � 'IHlS' APPLIGANT [S; �RQPERTY Oi�VSY:E'R TEi�TANT' �f)lti3TRACT�Iit svBNnr � ca�v oF Yt7[JR STA't"E LI�EIVSE A�ID CLI�Ti�ICATE OF dESLRiBE WORK BEITVG r • � .� STATE LICENSE YOLTR E-MAIt ADDRESS L ❑ BASF.I+�.NP FiN3SH � DEGK ,S•�t �h sc�Uaxes:�: .�_ GAR�t�$S . PR(3PQSEl? SIZE: PRt}PO6ED HL-TGHT: + e . L3 .AT'FACHEA GARAGE CI FJETACNF;D GARAGE � �SaE�it S3D FF[i'fFAS�IA C] Trim QNED? �S Q f�W C� FasGi� �!iDU!'ItS � EXISTNG OPE1viN�S L7Y�s Ql+�td L�CATJ�ht OF W[NDOW� C}R FOR NEt4`UF�IVTItiGS-DESCRIBE SIZE OF C?PE[�]3�JG �FIANGE5 Ik TYR� t)fi VVINUOW T0 $E f�dSFAI.;LEZ} NUIvtBBR 0F WTNilD�'S Ai.L FECB ARE $ASEI} UN VALiJATIOt�T, INCLUIITNG 'T�iE Ci`1ST Q�+ ....... . � _�� __ . _ __ . _---- _ 1!� . .; (LTSIIYG THE ],9�47 U.�.0 �EE S�HEDLTI,Ej Per�vt �e� Plan Review Fire Su�chargc Su,nchar�e Li�ense Surcharge Sf�C et►arge Ct�b Cuc �scmw �rosion Ctmtrot r>ark Fee S+ew+� Maiu (barge, �e� 'a; N" '�A'�EMENT I�EMOIiEL(N_f3 c�BINTT+ t . Exislis�, Fi#urT P1en 2. Frs�p�d Ooon plaa 3. Listi of s�truettaei t�crabers w be used Fc)R NEyV CU3J5't'itUC'fF�1�I i1dG[.iJi)[bTG L1E�KS. ADDITIQNS r9t P(3Rt'F�f'S CLasxR9iT. i_ Sit� Ptan/�nruuy showi�,� d�c existeng aecuctuees and propnas;d projcct. 2, Trovo cots viconstn�ti� pkans 3. Energy Calculatiais Fl?R WIND�WS—PRfW(DEU-'YA�..IJEANTI MANUFAGII)IiE ST'ICKER Ohi W1�+[?Ot�r: Sce Back'I'age fcsr Fee Schedule: � GSs/n ofBniiding Pemiit F�e .fl01 tir�eS t�te tatal j.c�b vaivation .OQ�S x �ermit Vatuation Minimum $5.U0 ��.fl0 (State Licensed Residentisl Contractors} �223U per SAC Unii (P1ar�s to hA'WCC far de#Crmination) f� + 6 ft = ft x$2S= � E4� Conse�rvation Ptan Review � Fee £�etermin�d b}+ Ei�ginecring Agr�fnent �ecessarY i ) l�ton �ieccssarY { ) 7'f�fS 1S A1V APPLICA3'[ON FdR A PFRMTC�+1E}T VrtLTD UNTIL pi{OCESSED I hereby appiy for a building permit �nd acknowledg�e t�at the informatipn above is cotn�lece and accurate; that the work wili be in canFarmance wi[h tit� Qrdiaanccs and cad a e City fFridi�y aati witk� the Minnesata Gonstructinn Codes; Chat I eutderstand this is not a p�mit but only an applicaCi�an far a perm�it and artr�s nvt tn start without a permit on site; chat the work wiU bc tirr a�cardance with ttxe �...,...._.,..� _,__ :_ .t- --- r �, -• -^ � • • - - - - �.