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P - 43600♦ s $u1ld.itlg inspectio�,s 763�s72-36a4 763-502-497? F'�1� UA'IE IU ^ � [ " 3ITE Ab#��t�SS �y� THLS APPT�CCA1�iT TS: T�NANT �3�ILDING It��I�3E�TIA� AF1'�.I�ATI�I'� cz�� o� ��m�,�� YQUR &MATL Al?C1It�S5 L7 OWIr1�R � Pex�it No.. `a � � �� o�-� �-%� � ° - r � ,`���i': � , ,� ,� ,� � � TTAME: C 1I tl /'"TG (�, �.r�— .4i?L3T�'�uS:. ••.: a �/�� � �+1.l�1i__C11'Y' �/�/ !� � $TAT6�i��„� �� ��oiaE: 7 , �`� � �' - ��/ SC7�[bII'T A CAP'St� 4� STATE L[G'Q+1� 'Y'DUR �TAT� �C�riSE ANi3 CERTIF�GA'I'E O� At�p�SS:� ft�13UiLA2JG� gIK7�i& � PRdPER'I`Y '�'YPE [3 S�t(3�.� FAMS 0 G► �a3�1� ��t�Sli ❑'ROOF E7 A'�C� C1 SFC/iltTti $�C O I�QUSE UI+il.Y MIl4fSER O� 3QUA R�S � iiqCJS� 8c L4ALtAQE C1 A'i'�"ACi�i7 CiACiA(3E p�� S�E: � DETACCTE� GA1tAC� 1�tVPOS�B HE14�T: � .0 Y6►yl q�a�'it �71A1usnutua Ci TFU[I t7' 4�ee Q Psscia it+f�� QOpTs%iiNQS ��s Cfi+to ��� QTt T�QTt 1�1�1�V OP�1TI�TGS- �fiG�4BE Sl��s OF OP�YNG CHA'Nf3ES 8c .�. _ , �,,. _..,,ttt... A� Pe'mit Fee pl�n kk�view Fi�rs St�rcharge Su�'e2►argt �.icense Surcherge SAC Char�e Cur�s t�t Fscra�r Emsion G�trwl Park �ee Sewer T�ain Charge Al]t)tTEQN 'U.�.rC ��� S��'[�AULE) ■ i C�' � I. F`�ti9RietgFl�rF!�tt 2. PropOSCd �not p�n 3. Lisi oC edtuctutak member3 � b�e tnod l�tJ�t N�SN CUt�"�Tit1LYCi'C�+i il+iCLtl�3�1Nt� D!�SS, �DiTIQ�+iS_ dt �LiR�.R 1. 9i/E �dS�ur[Cy s6oWing thp txisp�g et�ru+cs ar�d Da�D�d !�� 2. 'lti�+� aeu of c�ttaion plans 3. F,�rgy �sie�tlat�s � VVYi��'iOVYS — FytO� U-V,�1LlJB ATtD MAN77�''AGTi�t� $i!� 4Ai WR+�E1W. S '�,� S �ee'R�ck �'age for� fiee Sehe�inle $ � 65%0 ofBuilciing Permi# Fc±e � � .aD2 times ti,� wtal job v�lustaian $ .(1Q05 x Fermit Va#uation Minimum $5.00 $ �_ $S.QO (St�ke I,.ic�rtsed ltesid�ntiaJ Con�re�tor�) � $2230 per SAC Unie (Pl�ns r,a M'W'C.0 for �i�tion) � S�6fi� tix�25=� . � $aSt► t':�nsuTVat4nri P1an l�en�e�ar S Fe�e Dete�mitued by Engir�ing � Agrr�rr�t t�e�s�'l' i) 3'�Toe 1�ss�rY i) THiS IS AN' AFfPLICAiIC►I+t FQit A k£R.Ad1T�IQT VAL1L7� i,�td'i!L PL�ACBSSEF� I h�' aPF�y � a bu�g per�nit a�d I a�cknoc;rledge ifia# ti�e ir�formaticm abc►ve is caangte�e stut �urate; 't�t �ne vva�kk wi�l 6�t in conformancc with i�te ord�n�ces a�d c:odes of the City af �ric#ley a�d wi� Ehe l�tinnesflta Cor�strue�fon Cades; �t I undersla�d thi$,is not a p+�mr3t bttt cml�y an application f�n' a pers�it �ci w'c� `�t to stert v�vitht�t►t a p�rrnit o� si�•, tlrnt tbG work wilt be in aecorda�sce xvith dsG �Fl�ved pian en t�,e casc of' " ' erv an ua! of s. stt�r�� OE �PPLtcr,rrr gw�r rr,�MC� b�� ¢' �. tr1.,.S n;�� f G� �-� l—,/� / •�bbnnvrav n.aennnrnn �vn�r..m�mr. .. . ___ _ ��� � � �.., - _. _. ,__ `� ��� Wd Z4�l0�ZL 160Z/Z4/ fi:a;�a Z/L :a6� ""°�--�-__ '�oa� P g a � � � � � � � 0 � ��:� o � � � � ; �, � � 4 � m � � � � � �� � N � t �/� t�o . � v' LL � �� �9 �``.1 � � � � � � � � � � � � x � � } `� � 3 s � � . � t� �- � _ : � �1 � r`�i � � � � 3 � � a � � � � M �� REVIEWED BI�G fnspector �. Date /o f �l � � � � r � ; •�� . -�a l�� i Q � �� � � _ �--� . � `�-�---� --- � . �i � � I - �# v ,� . � ��l _ . .I � �� N} � � . � S • �, s 0 0 �