HomeMy WebLinkAboutNo 11342 ~ ~4~ Village of Lakeville z.?,
INSPECTION DEPARTMENT Bui~airvg Permit......
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BUILDING PERMIT ~ } .
Building Permit Fee . .
State Surcharge ~ _ n
TOTAL FEE PAID .
Permission is hereby granted to
BuIIdInQ o~ Lot No. Block - Subdivision - tt'-
Parul '.t _ _ .t.:n }C;~..a~, ;:y~ Plat
lIt the VILLAGE OF LAKEVILLE to be used as 7'e'rrti"' ter cc :~~~re~ti r ` ~~x~~:.
This permit is issued on the express condition that the ~ ERECTION -ALTERATION -REPAIRS
-ENLARGEMENT -MOVING -DEMOLITION respects. to the statemervts certified to irv the application for
such permit,` and that. all`work-shalt be done in accordance-with the Ordinance of LAKEVILLE, Niint~sota end the Stata
of Minnesota pertaining. to the construction of buildings.
Street Address "'f L . e
Dinetor, Lt~anse and InspaetiOn
Attention is particularly called to the cutting up of streets, making main - r
sewecconnections, drivewa s and curbs. Obtain ermit for such tonstruc- 'Y ~ c
Y P BY I
tiort from the VILLAGE OF LAKEVILLE. Inspection Department Not Re-
sponsiblefor Any Damoges to Public Utilities.
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APPLICATION FOR BUILDING PERMIT
CITY OF LAKEVILLE
8747 208th St. W. P.O. Box M
Lakeville, MN 55044
46g-4431
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Job Site Address : ~ ~ C9 ~ ~U ~ ~-(~..c C,
Legal Description: Lot Block Addition '
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Owner /l ~p~` L~ Phone ( ~
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Address , ~ ~ ~ c(/ ~ cJ Q
Contractor ~cS , ,
I hone
Address
Class of Work: ( )Erect ( )Alter ( )Repair f )Enlarge ( }Move ( ) Demolish
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Proposed Use (Describe in Detail) f
Heating Contractor
Plumbing Contractor
Sewer & Water Contractor
Electrical Contractor
Special Conditions
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Valuation of Work: $
Signature of Applicant & Title: FOR CITY USE ONLY
Zone
City Fee $ ~ d
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Date Plan Check $
Signature of Zoning Officer: Surcharge $ ~ v'"'
SAC $
. Date Hook-ups $
Signature of Building Inspector: Area Charge $
.Other $
Total $ ~
Date