HomeMy WebLinkAboutNo 11923 {
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~ Cit of Lakeville.
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INSPECTION DEPARTMENT
BUILDING PERMIT valuation ?600.00
8t ReCelpt Building Permit Fee ,)1.00
State Surcharge
TOTAL fEE PAID 25.5G
Permission is hereby granted to ^t?iiE i ~ Ez' 9 t';~ ~ la~.^]+? r
Building on Lot No. Block Subdivision ~ Car R R ~ ~ f'
Parcel ~E2?...0i?~E?I~-0~0-7~ Plat
i'~•-*si r ~ e ~oz~~~ruct ~3df t~' on to xesenb Qara~;~~ ,
~ in the CITY OF LAKEVIlLE to be used as ~
I This permiCis issued ore the express condition that the __-ERECTION ALTERATION REPAIRS
ENLARGEMENT _~1AOVING DEMOLITION respects to the>siatements certiNed to in the application for
such permit, and #hat all work shall be done in accordance with the Ordinance of t.AKEVILLE, Minnesota-and the State of Minnesota
f pertaining to the construction of buildings.
Street Address 8Q2b I?o:id j~ivrl Diu ~fii ler
Director, License and Inspection
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Attention is particularly called to the cutting up of streets, making main sewer `
Connections,dnvewaysandcurbs ObtampermitforsuchconstructionfromtheClTY
OF LAKEVILLE. Inspection DepartmenYNot Responsible For Any Damages to By ~r , ~ _ ~
a%~
' Public Utilities.
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APPLICATION FOR BUILDING PERMIT
CITY. OF LAKEVILLE
8747 208th St, W. P.O. Box M
Lakeville, MN 55044
4694431
Job Site Address; g~'1 a ~ /7 ~ ~ ~ ~ ~ , f
Legal Description: Lot Block Addition
Owner ~ ~ ,L7 J ~ % .r Phone ~ ~ ` ~ ~ ~
Address ~ Citq Zip
Contractor E= Phone
Address City Zip
Class of Work: ( )Erect (')Alter ( )Repair (Marge ( )Move ( ) Demolish...
Proposed Use (Describe in Detail.) ~'1 17 ,r} 17- ~
~ 1 ~ 7--
Heating Contractor
Plumbing Contractor ,
Sewer & Water Contractor
Electrical Contractor t
Special Conditions -
~
Valuation of Work: $ ~ C' ~
Signature of Applicant & Title: FOR CITY USE ONLY
City Fee $
PSa~ Cheek: $
Date ~ G9 ~ Subtotal $
Signature of Zoning Officer:
Surcharge $ ~ ~ ~ °2
.SAC $
Date Hookups $
Signature of Building Inspector: Area Charge $
Other $
Date Total- S