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PRE 2010 DOCSMage Of Fridley, Minn. BUILDING PERMIT DESCRIPTION, OF BUILDING Front -f DeptJ3 Height stories Manner of Contra To be used as To be completed ` " Estimated Cosi �e*.e Permit is hereby gr ted toy`-AZOCAM .,-' fl- to �,` •��-K*°�'' -' the buildtaw described in the above statement. This permit is granted upon the express con Ition that the person to whom it is granted, and his agents, employees and workmen, in all the work done in, aj nmd.and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, 3 Wn., regarding the construction, alteration, maintenance, repair and moving of buildings within the city limiti and this permit may be revoked at any time upon violation f any of the provisions of said ordinances. —Inspector of Buildings. r AGREEMENT AND SWORN STATEMENT In considerat on of the issue and delivery to ,me by the Inspector "of Puildings of Fridley of the above permit, I hereby agree to do the proposed work in accor&mce with the description above set forth d according to the provisions of the ordinances of Fridley; and, being first duly sworn, I hereby ate and say that the facts stated by me and contained hi the above permit are true as therein ted. Subscribed and ora to before me at Fridley, Minnesota this ' i City of Fridley, Mian.. 0 BUILDING PERMIT N® 4320 ......._— �Date: ...--......�"......._..._........1 .. .---.............--- Owner::/`� . _._ ..... ................... Builder it n Address..... ........ ........... .._...._.............----•-----.___. _.---. __._..__.......... Address �// TI N OF BUILDING No..... dl.... ... .Street ....._.... .................... .... .... _................ ....................... Part of Lot Lot ...................................... Block ..... -....... ..... _................................ Addition or Sub -Division Corner Lot .................................... Inside Lot..,X............................. Setback ............................................. Sideyard Sewer Elevation ..................................... ............ -..................................................... Foundation Elevation .................. DESCRIPTION OF BUILDING To be Used : _........................................... Front �� Depth .1......... Height ... Sq. Ft. --.z Cu. Ft. 1... ......__......................................... Front --- ------ - Depth ............ Height ��..__..........__.. Sq. Ft......................... CU' .Ft. ........................ Type of Construction ._.......--. ...................... ............ Est. Cost....../�.._..... To be Completed .................... .............. _....... _........ In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set fo , and in copliari j.,with all provisions of ordinances of the city of Fridley. ��// �4 In consideration of the payment of a fee ofpermit is hereby granted to........................................................... .... _..._._........_.........._--------------.------------------. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. _ice Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these hems. City of Fridley, Minn. NT 9 3 3 BUILDING PERMIT Date: Sept- S, 1967 Owner: George Steer Bid" George Sponger Address 4868 3rd street N.E. Address 4868 3rd Street P.E. 9 LOCATION OF BUILDING No. 4868 Street 3rd Street N.H. part of Lot Lot 3 & 4 Block- Addition or Sub-Divisionft outb Addition Corner Lot ._ Inside Lot Setback __ _ _ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front Depth Height — Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. — Cu. Ft. Type of Construction Fat. Cost _ S 1, 25 Q ___ To be Completed In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and in compliance with ;h provisions of ordinances of the city of Fridley. r In consideration of the payment of a fee of $ 8.00 , permit is hereby granted to GeOWO Spanc®r to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work. Ldly ces. CL RUNCE BAISLE Building Inspector NOTICE: als permit dose not cover the construction, Installation for wking, plumbing, gas heating, awn or water. Be sure to dN the Building hopector for separate pormhe for thea hum. 1117 r`1•- 70 IN PSI' CITY OF nI YDLEiy Ai NNE SCTA OWNER'S NAME- Bii�'�,tDER _ ADDRESS ' /1 ' - - -- -- -- ADDRESS""A�,LL� LOCATION OF BUILDING N0. _SVREET PART OF LOT LOT BLOCK ADDITION OR SUBD:VISION CORNER LOT INSIDE LOT SETBACK SIDE -•YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location draum on these Certificates. .DESCRIPTION OF BUILDING To Be Used Ad: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height �j Sq. Ft. Cu. Ft. Type of Construction Es Cos t To Be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). �k .►►►►•►•.1x>rtI►�Ir►�AIRTARI►►t'7*STT'f►7II'f'Ifn'►7r7�A�►�(�r►►►'►�►I►►�Yt►/�IrI ►►►►►s►►�►77VM T ; r t"n .'Z Y 1�' r � o .j Y r SUBJECT PE1707 City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r REC NO. � COMMUNITY DEVELOPMENT DIV. 10233 r i � PROTECTIVE INSPECTION SEC. 1 � NUMBER REV. DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 July 28, 1483 JOB ADDRESS 4868 - 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 & 4 2 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE George Spencer 4868.- 3rd Street N.E., Fridley, M 55432 572-8901 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Dalberg Builders 1121 - 80th Avenue N.E. Spring Lk.Pk. MN 55432 784-2720 17071 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO, 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION? ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroofing & Framing I 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, f gooas It VENTILATING OR AIR CONDITIONING. ph THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $5000.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $56.50 $2.75 STRUCTION O HE PERFORMA OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE a $59.25 SIGNATUREOF CONTRACTOR OR AUTHORIZED AGE It(DATE) r WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP GATE SIGNATURE OF OWNER IIF OWNER BUILDER) (D EI CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PEFU41TS (New, Alterations, Additions, or Repairs) 01111ER: f Z BUILDER: ADDRESS: 3 s ADDRESS: TEL R0: TEL NO: -:2,0 Construction Location • STREET NO: STREET: '�V F_ LOT: 72 r BLOCK.: ADDITION: Corner Lot: Inside Lot: K Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. "OYDESCRIPTION OF CONSTMI CTION ronk: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Rb Be Coripleted: — 3 lip — m. Estimated Cost: $ Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ ' $ SEE FEVER�E SIDE OF SHEET Mie undersigned hereby makes application for a permit for the %.nrk herein specified, agreeing to do,all work in strict accordance with the City of Fridley Ordinances and rulings of the Delxirtment of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE:z I ���� SIGNATUIE : SU'pulatio ZS6eS_U v ` 1 SUBJECT PERM City of Fridley 19 0 3 8 AT THE TOP OF THE TWINS BUILDING PERMIT r � R COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. _ r 1 � NUMBER REV. DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 �"'"Jl/ 612-571-3450 910-F15 6/29/87 JOB ADDRESS 4868 - 3rd Street N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3,4 2 Plymouth. Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE George Spencer 4868 - 3rd Street N.E. 572-8901 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO, Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW JJ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 121 x 41211'.Baaement Entrance 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan WARNING Beim digging call local util O EEECT11c, W ttt- TELEPHONE - SEPARATE PERMITS REQUIRE® F017 le utR® PI LAIN 1 1. ' c SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1100 $.55 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $19.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $4475 $24.30 SIG�TUREON TOPOR AUTHORIZED AGENT IDarEI WHEN PROPERLY DATED TH S IS YOUR PE IT IBLOG SIGNATURE OF O ER F NER BUILDERI I ATEI INSP TE v ` 1 NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. Building Permit Application Construction Address: �i 6 �irc� -sem ` rV � Legal Description: S i Ocve Ilr`n Tel. # Owner Name & Address: Tel. # Contractor: er Address: qJ01PA173rcQ S�• N. Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING GARAGE -DBe*—Afj*AsLength AREA: Length AREA: Length la Width - Width - Width q -d''4_ 2 gin. Height Sq. Height Sq. bj Sq. Hgt/Ground j� Ft. Ft. _ - Ft. OTHER: �it amee- Corner Lot [ ] Inside Lot [✓] Type of Construction: Ft. Yd. Setback - Side Yard Setback - Estimated Cost: $ 110 0 cc - Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: CITY USE ONLY Tel. Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 1 oo ,v1 SUBJECT City of Fridley 26182 AT THE TOP OF THE TWINS BUILDING PERMIT r RECRE I i ♦y ������, COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r � � 1 . i NUMBER' REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 6/9/98 JOB ADDRESS 4868 3 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3,4 2 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE George Spencer 4868 3 Street NE 572-8901 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW Cj ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 11' Deck; Install patio door 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNAg Before digging cep for all utility locations REQUIR02 ED°B Y LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,184 $.59 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROV S OF tNY OTHER STATE OR LOCAL LAW REGULATING CON- $37.50 Fie SC $1.18 STR CTI OR T PERFORMANCE OF CONSTRUCTION. _C/39.27 PLAN CHECK FEE lei TO L FEE SIGNATU F ON. RACTOR OR AUTHORIZED AGENT IDATEI ITG^� EN ROP VALID T/r THIS IS UR7-d- � B G INSP OATE ` S,GNATUREOWNER IIF OWNERBUILDERI IDATEI NEW [ ] Effective 1 / 1 /98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 aZ BUILDING PERMIT APPLICATION 3 SSD ConstructionAddress: 4<91$ Legal Description: Owner Name & Address: %e�c`�,�, �pe�V1 ce (` Tel # Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length_ Width Hgt/Ground Sq. Ft. 3 OTHER: P�,� i® '4�vaC Ynj"--� = /, /91 y.G/ Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = DATE: APPLICANT: Estimated Cost: $ (Fee Schedule on Back) Ft x $ = $ Tel. # STIPULATIONS: CITY USE ONLY Permit Fee $ 51,'5-6 Fee Schedule on Reverse Side Fire Surcharge $ 4 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: �C/ CP vPr7, -ez� f -Z-t-7 4, X?- SUBJECT City of Fridley 29033 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. `v ------COMMUNITY DEVELOPMENT DIV. INSPECTION SEC / 5/5,r PROTECTIVE 1 ; � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 3/19/99 JOB ADDRESS 4868 3 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3,4 2 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ray Spencer 4868 3 Street NE 325-8848 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Allied Fireside 2700 N Fairview Ave, Roseville, MN 55113 (651) 633-2561 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20090911 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION] ALTERATION ❑ REPAIR O MOVE ❑ REMOVE B DESCRIBE WORK Install a Quadra Fire #31005 Wood Burning Stove in Living Room - vented through roof 9 CHANGE OF USE FROM TO STIPULATIONS Install per manufacturer's specifications. Approval agency noted on unit. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,200 $1.10 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY O HER ST TE R LOCAL LAW REGULATING CON- STRUCTION O THE FORMA E F ONSTRUCTION $74.75 Fire SC $2.20 PLAN CHECK FEE TOTAL FEE -3 ef? License SC $5.00 $83.05 �GN4TURE OF CON'RACTOR OR AUTMOR,ZED AGENT ,DATE, WHEN PROPERLY ALIOATED THIS IS YOUR PERMIT T--?-"; /OATE S,GNATURE OF OWNER,,F OWNER BUILDER, (DATE, BLD,N5 P NEW [ ] Effective l/ 1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION���� ConstructionAddress:C- Legal Description: Owner Name & Address: Z4-ape-nce r Tel. # Contractor://,'eel ", �e s.'�� MN LICENSE #� Address:,)% eta, ; r r/, ` A,. /a;� 14 /y, c Tel. # &I'/ / -X33 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: ' 1vlt�'� Construction Type: V td-)�d ���`�� Estimated Cost: $ - C (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 3- I `I 'rfi APPLICANT: zz-1S--R /l Tel. # 6,r/ -C,3-7 s� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ /- / 6) $ S -vv S O� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ]