HomeMy WebLinkAboutNo 12664 Valuation ~ ~ ~ ~#!lf` , r1r~ Water Unit 7 C1 ~
City of Lakeville Bldg`.;Permit Fee •rttl Sewer Unit . ~7S nn
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State Surcharge ~ , ` ` ,Area S.e»E.Z 23$ ~1,'";
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Metro SAC-Charge • ' Park Fee . .
BUILDING PERMIT O,her.~'t.~~.`~ya-:~K:.. _~r~ ToTA~PA~o.......~.~_~~~~_~r
Recepf
Permission is hereby granted to
Building on Lot Na z Block Subdivision
c.
in the CITY OF LAKEVILLE to be used as 'pz' `~i'''Z t" ~ ~t?-° ~ . ~t~'. ~ `'S i~~`~~ ^ ~ t 't°c:. F_l. ~_ttg;
This permit is issued on the express condition that the 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 #he- Ordinance of LAKEVILLE, Minnesota-and
the State of Minnesota pertaining to the construction ofibuildings.
Street Address ~-"-~,i .,~„lc:.i{r +'t~j,~r, :`ii.~'; "'~i~.?PT
Director, License and Inspection
Callfiorinspections - 469-4431. BY
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CITY OF LAKEPILLE
APPLICATION FOR BUILDING PERMIT 8747 208th St. W., P.0.3ox 957
Lakeville,. MN 55044
(6I2) 469-4431
Job Site Address ~
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Legal Description: Lot Block 9~i Addition iC~~ ~-d lac .`.n
Owner ~1~z,~; E~z~lc %~~•'i~a~• : Phone _ ~3-~ 4'
P.O.Box: ~
Address ~ 2c; yC, ~<:~ffe ~ ~ ~r ~ Cit
Contractor ~G,~'e..,.J ~ 4.. ~ e Phone 7`~ ~ ' ~ ? 5~
. P.O.Box:
Address .2~e ~ Cc~IjeL Cry,: I City _N~ ZiP _~~e:3 /
Class of Work: (X Erect ( ) Alter ( ) Repair ( ) Enlarge ( ) *iove ( ) Demolish
Proposed Use (Describe in Detail) ~
Commercial: Square Feet ~ Emplogees
Heating Contractor ~F' ,"s,? ~z..:
Plumbing Contractor ~ ~
Sewer & Water Contractor _ fCr~m m e 5~- ~4 ~c '
Flectrical Contractor p~-~„ ~:.z, j
:Special Conditions
Valuation of Work: $ d ~
' FOR CIT° USE ONLY
Signature of Applicant 4 Title:.
1~ ''r ~ .Q.,;~.~ City Fee $ ~ ~
.1J~-~%u~ ) ~ y~
Plan Check $ ~ l~ ~
Surcharge $
Date
SAC - $ _
~
Signature of Zoning Officer:
• _
S/W Units $ ~
Date Sewer Area $
I~I
Street Area $
Signature of Building Official:
Park or Misc. $
- Total $ sr ~
~ ~ 7 -
Date:
SID MILLER, BUILDL'YG IIISPECTOR f_:_~--'~ ~ ~