HomeMy WebLinkAboutPre 1987 Permit __I
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Valuation , .t~`# #~X .Water Unit , . ~7 'P
Cit of Lakeville '`jP~
y Bldg. Permit Fee ' Sewer Unrt
State Surcharge.......... , , ~1~# Area .~;~~~r... 2 ~k' ~fl
Metro SAC Charge . • . ~ 5 • Park Fee
BUILDING PERMIT Other TOTAL PAID.....;...$.2T`~~s~
& Receipt.
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.Permission is hereby granted to
Building on Lot No. Block rj Subdivision De~c3+3 Pc+in.t~
Parcel No. '1~~1..;'I'1f~fj"1-fijtif! ^2.
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in theClTY OF LAKEVILLEtobeusedas ~`~*~m~t" C~s;;~t:.1'titrL s:irs~',~i~ fX~:mi1'v ~we~t.3.n~z
This permit is issued on the expressconditionthatthe ~-ERECTION ALTERATION REPAIRS
ENLARGEMENT MOVING DEMOLITION .respects to the statements certified to in the
application for such permit, and that all work shall be done. in accordance with the Ordinance of LAKEVILLE, Minnesota and
the State of Minnesota pertaining to the construction of buildings.
Street Address
Director, License and Inspection
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Call for inspections.- 469-4431. By R
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/'~~7r - CITY OF LAKEVILLE
~~%/3~l : ~ APPLICATION FOR BUILDING P~tMIT 8747 208th St. W. P.0
~ Lakeville,. MN 55044 .Box 957
(612) 469-4431
Job Site Address ~(o ~'~~~%S~o,~ ~~,~~7-
.
Legal Description: Lot ~,o Block ~ Addition Op' .oi'
/rs~ G~~1'c?`r ~i'~r~
Owner ,~-%i,~,~~%L ~~~jj ~Urt~ue~ran Ct1 ~i c. Phone ~
Address _~D7/ e~c~-t~S ~oc~~ Ci~yBox:~A /9~J
~ Zip SS
. Contractor ~ Phone
Address P.O.Box:
City Zip
Class of Work: Erect ( ) Alter ( ) Repair ( ) Enlarge ( ) '_`love ( ) Demolish
Proposed Use (Describe in Detail) ~G,~r~'i~e ~ / ~,~7 ~X~~/S~®
S~ 'T.
Commercial: Square Feet ~ Emplopees
Heating Contractor
Plumbing Contractor
1
Sewer & Water Contractor ~ {f
e
Electrical Contractor
Special Conditions
Valuation of Work: $ ~F.`~' ' .
3
FOR CZTY USE ONLY
Signature of Applicant b Title: _
City Fee $ ~ ' ;
' ~ Plan Check $
Yk~1 r
Surcharge $ ~
~
Date o?-3--~j
SAC $ -J
Signature of Zoning Officer:
-
S/W Units $ '
Sewer Area $ ~,1.~j r'~
Date
.Signature of Building Official: Street Area $
Park or Misc. $
Date: Total $ r~`:''' ~ C_~ }
SID MILLER, BUILDING INSPECTOR