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AF-W - 43312ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE CITY OF FRIDLEY rE� � o.: 200�-00629 ' 6431 iJNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 05/03/2004 �631572-3604 FAX: f7631571-1287 : 255 CRAIGBROOK WAY NE : 033024430031 : PEARSONS CRAIGWAY ESTATES 2 : LOT 19 BLOCK 6 : WRECKING OR MOVING : RESIDENTIAL : ACCESSORY BLDG VALUATION . NOTE: REMOVE AN 18' X 12' SCREENED ACCESSORY BUILDING APPLICANT JOHN & VERA, WATKINS 255 CRAIGBROOK WAY NE FRIDLEY, NIN 55432 OWNER JOHN & VERA, WATKINS 255 CRAIGBROOK WAY NE FRIDLEY, NIN 55432 AGREEMENT AND 5WORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worh will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating�tru�,ho� or of cons 'on. Applicant jy/� ' a Date� 3 D Bldg MOVE THRU-WITHIN-OUT TOTAL SEPARATE PERNIITS REQUIRED FOR WOR� OTHL`1Z THAN DESCRIBED ABOVE. 20.00 20.00 CITY OF FRIDLEY 6431 University Ave NE Fridley MN 55432 MOVING [ ] (763) 572-3604 FAX (763) 571-1287 Effective 1/1/04 WRECKING [ PERMIT APPLICATION , ���� _�ao�l J� Job Address: as.�j Cra+4 � hoc�K ���I /�C`� Legal Description: Owner & Address : �'(3 � �n �(1�C�,� �� �j- e,�Gt %� ��`�� v! S Tel . #7G3�.S7y-7Sf�G Contractor: ��,���r Tel. # Address: State License # DESCRIPTION OF BUII..DING HOUSE: Length Width Height Sq. Ft. GARAGE:Length Width Height Sq. Ft. OTHER: Length �8/ Width ��/ Height � Sq. Ft. �_ Estimated Cost $ yp p Approx. Completion Date Cu . Ft . Cu. Ft. Cu. Ft. � 0� C'_AT•T• GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS . CALL AT•T• UTILITIES FOR DISCONNECTS BEFORE WRECKING MOVING STRUCTiJRE. Water Bill Paid: Yes [] or Collect [$ Moving Route: ] Signature The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations stated in this application are true and correct. ALL � � ate Moving _ Principle building into Fridley . . . . $300.00 Accessory building into Fridley ...$ 42.00 Through or within the City ......$ 20.00 Move a building out of City ......$ 20.00 PERMIT FEE: � �, D � MINIMUM $20.00 Wre ' For each 1,000 cubic feet or fraction. .....$1.25 For structures which would be impractical to cube, the fee shall be based on the total cost of wrecking at the rate of $6.00 for each $500.00 or fraction. STIPULATIONS: