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P - 35970AUG-04-201 ; R 4 � 1 11:28 AM STANDARD WATER CONTROL ���I����� ����.,� ������� 5�37 Lak9knnd A�nue idonh 93i8 8we�neor181vd., At �ryei�l, MN 56�2g Clhre,, IA'SU3a5 �NEp�at8 S1: pnui au�s►+iu,� �r, c�ouo t�nUr►+ S�aB) ea�r�8!�9 taetl 7ye-6uie� �ea�1 ee�-,riar (�? �Sf=07B8 {�8) 727-tep� Na1r�e �� �"tltii 763 537 1882 �����l1f��.� �.1�■ ww W, atandardw�t�r, ct�m �m�p Fex (7B3) 537-1 B8$ �l . �DCHfi81'ER CUTBYAi'� Ok"S MOIM6S f4�7} �86-BOdY (�0) 979-7�107 (at 6y i66-iE86 Sy�tam 7b F1e Instal d�or I�nvWce � � Job �te � '�" de . ' +� �� ' Ngme � _ . � . �. . 14ddr�IS r._ ►�me prana ( �_ r��.� wo+k PMona ( ��'1 ,��, � �j �� Glty -- � ��„� Wom� Phone ( , � �"' �_ Work Phans ( � _ � h1� �M Ml�tar Ca�el �s� Mpo; WIN fun�lsh r11 IMbor �pd.+�'rUM to► tircrk as apreMNal In reeordrnc� with tl►rwlny b�rlow� . pl�rll�od ta h�r �a yp�oiflwf�si!d.op�npwt�d in a.wq�o��nnlc� n�nner ' fn iM wiht pnlor�wwfw a�nqlfloru� �quln ahfMf.to •woAc at•jab glt� lat�r lh�n a�lpat�, owMr uup! allo`r work Ora�w icf oontl� �++�+�w+w� no r��rr�+aM umn�; r.�nn�aa,� �nr.��ai+.�...p.a�r.d. `�r �r.vu„ nt iervio� wMr !d �ukmere fOr +�ork or rn.pe,oNo,,. rrlN hi uene.aurFna .nwnW hu:�n... nours. M.R.edn to awn. � � Mbl� far �neaiN�itan.bf �pre.d�etae(��, arpon monn�id� dN�efo�s) antl �N�onicr� outlMi�1 wh�n roqul�d. `�CIPiCA110N8 W DIALiRAY OF ARe14 �0 !1! tlBRVIL� 'fi� bs� ill�ilid.111'ItlloF p�p�; +_ 4N� �j lfA aJ jV� r- •� _. �Md r RRQNT PAY�"�'�� Ths ON�rer Atl�a 10 pny CdnMqqtqr a 6um ae �OI1�1wi A. Prlcs S.�`„�sc-..�.. e, Other � � c, Otr�ar � D, PrNtdpal B� � � � E, [Ipwn R�1y1'�eru � F �►��� � . � s � � D can r�on oar�euww, . . � lb Be PNNY7pb • . . � ��avc.d�.r,.a awn,.i �re anb. e ���n. � �1' fiodleei b NMlepe �Mn. fIC' d�1n1�1 hdet tllNwd M N rn�n ertd'Ipl'1Rip �1�tl0�. D��d �860 Bbl11dQ1 u{i w�l antl aDross icap�q. �klp moMue 6�rdar e�h1Nn drAinMl�1 sye�m #nd rww q�,n�1n1. ond n�a e«iawM wr tr�NMNr qniem, ,I�'�r can�►U011 vAll bewl� �lep� up 1ow9�ek WbN whdn �p EoFldlMoni- meks R n�Ny, R�Iriawl at a� u0nerol� erd uU�qr 1Db rdrlep WW�61tam �pq �lu. �P �Yibeh�"' Mldytl�IG Mlph qul� atrr�d4fN �edo e�w�p EoeN� �h our bnikd dw�m dIM'Irwnd iqI1M COV�A" P�ym p�'�IW roleny tumnwtle syqn� Pumq NIIh ah�de+�aN4. Nlyh water��. /'''� �D�YM 1'k" BMnYqp D(�ChBN¢ �f"' dPNPOIt,_y;�,,,,�!:,ft. � FA�Yqt�d �wlh �dlu b� M+en4tl Mth�n �6np aoMiqp� m� M�� 1q1 Q�A%6�111 • � �1 �IY� (�� . . m� ��1! 1WM Itl! � f�Ofrt�t tl n�0� � � . �Opllan�re�lo.ry.erekup�sy�n.,�et �_ �1 ��MI f►aePbw'" burke dilahrps N�Nm -Mtl -•,•�•_ ❑ OpUon�+ Cl�mone itAw Y.por awrdO1 aq, tR D sl�na.b ia�le► ca,6+al srnan�, uta rocolnmonda ir4qalno ersu+a� an eY pwlmeler wMUM ��Mr 9n.an��nt h�de��NOn -aM p�nna�r wnM1, 8lindsid WieM Conlrot 8ya�rt�� Irp. rao0nlntmd� Mq�l�t0 drainEN�'on ei ��; (� Pliflwi Bauen+Mk Npi�qpn •• e�h� k�irlio0 In e�isGN�d wae ownen �quo�t..�n'a ay�e� to �eeleotw .ra�t to b. wer�y o�,; d . �dp�i p1i1 aNy+�roM,YraelaOtl�On We oOVrred by.w�py�. Cj 19�a , I�er�nd .. bi�OVb1'tia►d . �r _ NOt�: All fl�ahclrp 1�t b�'mPpr�d i days 01' rnOn�Rrbr 101n5tell�prt datl. �. -- .— 8k1�f�R6 q13HT i0 CAMCRk, !f t6te eipnsrnant w+M �ailoHad �t.your r4aidsnce.and 1+04 nwY I�r+od thls agw�tnmt. b1►' ��Nnp �•notior To the eMhir, TN� noNc� m�u do not want the �np� �nd se►vlaa, �tlo`s afxl piurt M�ii1kJ estwe lnlchtl�phl.of thlt thf►d purhMlls da .� +�Y �Y that yeu dv na�want eha noods or n1Nl� ttl:• �tphd�rd W11br �o�ttrol 9Ystelai, InC.. 63�1 �and AwntMb Nort�ry�tpl��IkmsrOta 554�q� � mu�t br � ICCCEpTANCE OR pFiQppgpt { I have �rsfu�r.read bath p10 ft'ont A�d tl1s•bBCk at thls 9lgrse►neM, the Job pre�entlal Lottsr, Job PrepBr�ilon Clfeckpet, and all Ot ' the p►laae� e�adliCUtfext� �d'oandtlions. 7'he hm+a tx1 bo�h s�dea oI fhis• , 4n� sre h'sraEy �d. My derWatlon 11+om ths a �n19hd ahe Job Prpp�radort Leltea are ���ry � to do t1w ►vroME as eqecinsd. I aqres ro rnu� p�yrriern�aa ouNlnad a�hove� ffiov�a wln re.u� In a+ta�ra dearga. Yon aro authad�d ? p� ..�. .,. � Owrwr �� �� �+� �, �._ ,� j 8� Re . � �.s�r' p dw►wr �`�� � �ce�..urawoe,�r �weaorkst+�.aaao�coffrA � uce nio.,aes ""'�'t�'� -a'�o��� I � . .,. . �. ... , . �,.,.� _ . .. ... . . . .... . . . w � . ... .... .,,. ,.....,.. _. . ,. . ..... . ..,,. .�.... . , .. ..,........_ . .,. .. _. . ..... . . .., . .. . .. ..,..., P. 04 AUG-04-2011 0�:53 AM STANDARD WATER CONTROL 763 S3T 1882 �"".`"jl.� �f UiI�.DING . I�18p�Ct101,'IS Permi# No.� ���-5�2-��04 R�SI.�E�1iTIAL APpLICAT"IU�1T ����;��a $y: �63-soz-4��7 �Ax CIT� �� FRII�L��Y nat� R°a: - - EFFECT7VE 1-1-2011 fl��� 'N STfE ADDRESg � TFIIS APPLICqNT 1$: 'I'�NANT SUBMI'Y" A COPi' pF YOL!!t STATE I.,tCBN$Ti AND C�?RTIFICAT� OF IN3t.1RqNCE �UPERTY TYP'� N � 5TATB LTCfiNSF P.01 t�ERT snvat,� F,�r.��w caxs�xUCrroN 'rwo puKU.Yn�w coxsravcnar� ❑ �+s$n�rrr Fn+�sK a aoaF - � n� �► s�nnacs � xr� UN wURK: O IvBW ri� CONS�"AUCTiOx 0 wnDiTloN 01�Ai1V'l�1VANCB/R�PAIIt bEiJ DESCRI$L WORK BB[I�G DONTs: ' SIZB OF Il�1Pli0 ' LBNGTH W1� �CF S UARBS G HOUSE•ONi.Y Q -.�—�. ❑ FIOUSE � c'aAItAQE �� ❑ ATTA�F�D GARADE PR(lPOSSD SIZE: Q DS7'ACl�b GARAC3E PROP08�A Hfi1t3HT: C] V1np1 p ANh�inum O Othet 1N� OpL�NIIVaB GTYe. C]No oR Fo� r�w o�rrnvcs-DESCRIHB 3IZ$ OF OPENIIvQ CHA1V(i�6 4t �T •i • FEES AR� Plan Review Fire S�harge Surcharge Licenae Surcharge SAC Charge Cnrb Cut �scrnw Broaion �e�ntrol park Fee Sewer Main Charge or,�� O Tei�n o �.� �CAT10N 0� VI+�+ippWB 1997 U.H.0 FF,� �C�iEDUI,E) BTATB �p-- Trz.s 1. �; Flaor Plau 2• ProPaed floor p1�n 3. List a� �vcpaal memhws to be ueod FOR NBW CON6'CitIJCTlON I1�:I.LTDIN(3 DBCKS, 1. siee Planrd�mvcr �F,owins tfie oxis�g savcart�ll 2. "Irvo�oa� •on pl� 3. �aeeg�yr Cilculatioa� �oR wn�moa►s - �tovm� u-vu.v�.�+m MANUFACT[JRS S77CKER d'1�Y WiNDOW. ' ---. � � � , � �_ 5ee 13ack Page 1For Fee Schedule � G59�o of Building P'ermit Fea $ , .001 timca the total job valuatian $ .0005 �c Permit'Vsluation Minimym $5.00 � $S.QO (State Liaensad Re�identisl Contrsctar8) � $2230 per SAC Unit (Plans to MW'CC far determination) � ft+� g�.__. ft x�25� S $ $450 Conectrvatfo� Plet� Review $ Pee Detm�mined by Engir�ering g,. , . !��'ment neceseesY i ) N�n Necessss�Y { ) '1'H1S 1S AAt ."►pPLICATION FpR A PERMYT-NOT VALID UNTIL pRpCEgggyl I hereby appl� for a building p�mit and I aclmowladge thst tlie infarmstion sbove is complete and accuratc; that the work will be itt conformance with tlae ordinances a�ui codos of the C ' ley and ruitb the Minnaeota Construction Codes; that I uurderst�and this is not a permit but only an application far s pexmit and rk ' not start without a permit on site; that the work wi11 be in conda�ce with the �PRroved plan in the case of a11 � vh' approval of `' /�+� � / SIONA"r'CJRE UF APPiiCANT rt"1�r1 ��. �% ��.,..�,�f,,.....��d.LL.I �C".rG�.� r!/.� 1