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P - 44568Building i�aspections �b3-57�-3604 ��-�a2-�n�7 F�►x �.�� !o �� rl ;�x�.� .��ss �5'� _ :, 'xTItS AFpLI�ANT I5: �"' �o��TY awiv� av TENANT CONTitACTOR svs�r A cv�x a� xc3u�. s�a� r.rc�rrs� AND CERTIFICATE QF INStiRA1�CE nESC�� wORK From: unknown Page: 2/2 Date: 10/18l2019 10:47:22 AM �u��;�az�v� , �� R,ESIDENTIAL APPLICA'�'�ON �� a� a�nz��x �� .�.�� xouR �.�ua, n�n�ss 0 �'WNF"s�i �ONTRACTOR NPu�: � l ,annr�ass;,�'� ` 1 1�, crrsr �FIdNE:� �t�!_'�.._.,�.,.. H�E: �� ah sxa� r.�c�rrss #?� � �n ,wn�s�: ol • 'a� {e �'HqN� �: � �,' F, LE �At�tLY/NEw CCINSTItut:rlutu yy� � TWO FAMiLY/1VE�V CQNSTRVC1i0N 9T0 D ADDITfON Q GA� GElSi�I) Q 13ASF.MF.NT Fi1�1iSH 1p�1E.�np � IIECIC C SIDINC � � 5�a�s ��'• �vb � Siz�: �C� PRaPE?Sf�r F�i�ii`T: G� � P1Wu�ier� O Oehar • .,,, �' N EXIST�NG QPEN'lDiGS GYea k7Nq C7R Fdlt T1& W OPENfNGS-1)�SCR��. SIZE OF Ol�'II+r� C�ANGES 6k �ermit F'ee P1an Review Fire Stu�ch�Cge 8�rcharg� Lice�sa S�trc}�arge SA� i.'�,�ge Curb C�t Eaorow Erosioa Cansml �ark Fe� �� a x�oxt.Y s� � �a,�ta� �rra�c�cn�a� O �ZAt�1EE� CsARAGIi OSo�it O Trim f1 Fau:a • • • ^ t ►oa ��tit= �: r�• °.a.�►.� .. 'i� CERT U:BC �� S�HEdtIL�) a natnrnr � �1(�7'FtER �ern�uit No.. R��d sy: z��t� �� r� �011 sasa�r�n�nuc�a,�,r � 1, E�naF�f�n Z Fregt�ted�+bm�pba 3. Ls� of SttucdLL'a! �ne��ls dtbc m�l F1�lL Y�w �'A�i3'!�'AU4Tt!?N.�+tC[.i7IIliiv� E:��ICS. : I 4ite P1�dSavey �oa� i7ie e�� atructore�e 2 '�o��oa�ha�onptana 3. �ttaf�+�i},�,1AEioos Fo� witalDO�vS — PROV�ps i;-vAt,tT� ANL1 M�u+rLri�,�4;e'['[7k'& sTtGisFSt ox wtt�7�+pu►. � 8590 cr� Biu}ding Pecmit Pee. � .t1O1 #imCB'th� total jQb v81U8tivA ._,.;�.. va1 �,. .4D4S x F�ermit Valua�iaa M3a3mtant �5.04 � � $S.OQ E�tate �,i�ensed �zderltiei �tta'S) $_ �"►i236 per S�,,C iJ�it (Pi�s tip M9VC� fox �ti¢�aticnz) $ It + c3 ft� tt X�25� $ � $4S� C�s�xwat�a� P'I�n Raview� � $ F'ee De�c�C! by E�sg� � �°►�cemc�t IIeeessaiY i 7 N`o� Neoessary (} �. _.. . a�s rs �.a�,r�n�orr FaR �,�aa¢x-xar vwrx�s vzax�. r�occ�ssssr,� ��. I hereb a i f�r a buil ' rt e�,d I acknawi � Y 1� Y '� T� ed.�c tha# the iufonanatian above is com.ple�tc �d a�rate; ti,at !�e wock ws�l be in ovnf'ozma�loc wifh tite �s 8nd co�es of Ule City of Fildley and vuit� the Mi�npsota Cvn.�cuction Cod�s; •t1�t I uu�e7rsl�d #hss is not a g�mit but orily s,n sgplioa�ae�n for c pc��t and w�ak is �aot ta staat witicvut ��crmit an site; ti�;at thc work wilt be in a� Wit� the SiG� E� t>F �tcazar4 �� '', ��oval vf p k APPRQV N. iI�'uBEGTOR SIG J1. . PRxN7 NAR� +��' ,.�Y1 �,�� DA�6 i II