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AUG-04—�011 09:55 AM STANDARL WATE■R CONTROL 763 537 1882 P.04 i.+Mi1�4111� � V �i�J./��1� Irr�peo�ior�s RES�DEN'I"IAL APpLICA �'errnit No,;�Q -C� `f ° �63M572-3604 �� �'��� �.eceived By:' � 6� s��-4��� �.�x 'TY (�F FRIDLE�' �I��G�U � ` . Fw"�urrvrTC.c � , ��. � — % 3ITE A�pRE53 „�� '�"� �PLIGANT I5: �'ROP�RTY OWN�R/ TENANT 8U8MIT A �OPY O�+ YOULt STA7'$ I�IC�NgE ANb CERTIPICATE OF INSURANC� k-MAtI� ADbAESS ■ � :�• STA'c� LICEIVSB �+v�s rwHULY�v�w corrs�ntucnox 1'w'o r��n.�nv�aw coxs�vcrto�r BASBMFNT FIM3�1 I� ROt?� �• DECK 0 9�DING ❑s � TYpE OF WdRK: w xo� co�v9��cr�ox o �+�rl'�,�►tac�+nrn nBSCiug$ woRx ��axa aor�: ' SIZE 0� IIMF'ROV$1�iVT LBNGTH � F �U�� O HOUS� ONLY fiOUSE dc QARA�E �� 9IZS: � ATTACHEb GARAtiB PROPOSL�D HEIQH'f: � DBTACH�b GARAGH —�—��, �� � !►luminum � Other - ��� OP8NWG3 GYa. �No OR I�OR NEiV OPENIIQ4�-DBSCRI$� SiZ� OF OFEN'IIVti CHAIJGBg & TYPE OF WINDOVV TQ BE IIvSTALL� AY.L P'E�g ARE $AS4D QN' V P1an Reviaw Fite Snrchar�e Surcharge Licen�e Su�rcharge SAC Qt�,rgc Curb C'�t �ecmw �ioa Contro] Park Feo Sewer Main Ghargc 05o�c �'lYim O Feecia �.QCATfON' UF WA1DbWS /�ij;� TI� 1997 U'.H.0 FE� SCI;EDULE) STAT� �+ - ---�.�. CEAT � "��'l7I.B 1, Exitppg Floor Piap z. Prvpo.od tloor p1m 3. List of st�uahml metnbett to ba t�d FOR N�W CpNgTltUCTIOI+T 1NCLUDiN('s DECK$� w Di1'ION� 16 POR�ii� � �n�tT• 1. Sie� Fl�n/9urvey ehowin� d� ExiatiAg �p�p,i And propoeod �qject, 2. 'hvo seed of cpnttrut�on pluis 3. Hnargy Calcui�tio� FpR WfNDQW3 � PItGN1pg U-VAL�, AND MANtJFACtURB STTC1�R ON WiNDUW. 65% af $uilding Permit .pee .001 ti�es tho tot�! jab valustion .00US x Parmit V'alustion Miniantm $g,pp $5.00 (Stabe Liceneed Residend�i Con�u�) $�230 per SAC Unit (p(at�s tc� MW'CC fcr determinedon) _„R�-6ft� ftx�2S=$, �450 Conaervatioa Plen Review Fee batm�ined by Eugineering '',greeenent n�e�Y i } Non xoceass�y ( ) 'I�B ri3 AN APPLICAT[ON FOWt A PERMIT-1�TOT VALIb U]aTIL ARIX'.�,93$D ' ---...,. r hareby spply for s buiiding pormit a,nci T sclmow that ti;e info�metian above i� camplete end aflcursu; t�at the v�rark will be in conform�nce with the ordinancea ancl c�clea of the City Fridl and with the Mi�esats Conettuction Codes. tf�at i und�rstand this ie not g parmit but onty sn apptica�on for a permit anc! work is at t atart withaut a � approved plaa in the caee of all 'c� P�t an site: khat the work will be in oo e wit� the 3IQNA7URE OP AriPLIGANT 8��'al Of pl APPitO'VAL INSPFCI�DR 91(1NA DAT� AUG-04-2011 11:28 pM STANDARD WATER CONTROL �53 537 1$82 �►�TA�r1oARt� WA��`�14. �Ct�NT'�l��, �3s� �eke�and;4r�qnue N� Crystal, MN 66429 8t P1�1N, (g61} 779�l�01 957�p �n�on �IVd, A1 CUve, fA 5p9,�6 �VILLH 8T, OLOUD OLH.UTIi f�! e�o�ro� (�ol �o� (�te� �r-fwe �Y'�TEA��, �N�� wu^" stdnd�rdwaear.aorn �au {7B3) l537-188P � �� � � �. �y�rm'1b � I►�IMd Far inv�Mo. � [,� 'lob $� #�-w.—.".�__ DeE� IWdr�M � � �� � � —. . f71Se Hp1he Pha�1! �� ^ap ���� �, � - �P Wak P� ( ' ti��s�,���� Mlams plion� (��^ ."_'_'" I � wark Pf�ona ( ) �ndrd NIYI�r �o�edql8�p�. h% wlll iun�yh a� Mbor a�d n►� br wo�k r ap1e11Nd w�prd�p� +rph �M�Ilen �MrI�M� ia h� M�p�etl11�1 aid 11anpIM� In a weM�nllla n�INMr. �MnD b�inr� N1 � MMII) u��M� ��� �1 � Woflt �! 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