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HomeMy WebLinkAboutNo 12925 r 4 ,s ~ T tr s 19 ~.t • ~ 1? ~f~,`"?~.~}~1 Water Unit z~Pa Valuation Clt)/ Of Lak2Vl Ile Bldg. Permit Fee • Sewer Unit ~ % ~ » ter State Surcharge .'3~ ~F~~ Area . ~ec~teY ~ a +~G~ fj ~ rq .Metro SAC Charge Park Fee . . BUILDING PERMIT Other TOTAL PAID.........~7~~~'~•'~' Receipt Permission is hereby granted to ~3ui1.rleTS, T.;tr_• Building on Lot No. Block 1 Subdivision P©~~ ~'Ci-rtt~ I ' Parcel No. ~2.-2R~?~if~ ~'~`.~~,1 in the CITY OF LAKEVILLE tobe used as ~'~a2'~"tit ~=t1t15t'~taCt ~~;~~1 ~ f~t:?r.i~.y ciwel:l.i~ Thspermitisissuedontheexpressconditionthatthe 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 Fxce'~. b.r~T ?~r~.yo~ ~''~v.ller ' b~s~ Director, License and Inspection s.:,' r• Call;for inspections-.469-4431.. By ~ ' ~ i ~ r t ~ y J ' A ~ ~ ~ + W ` 1 V ~ ~ ~ ~ ~ ~ s ~ ~ ~ ~ ~ ~ ~ r z s° I' ~ ; a APPLICATION FOR BUILDING PERMIT ~ ~,1,~,..~..~' € ~ ~ ~ ' CITY OF LAKEVILLE ~ ° 8747 208th St. W. P.O. Box 957 ~ " - - - Lakeville , MN 55044 v ~b~ 469- 31 ~ ,lob Site Address : ~f..~ ~ 't ,r---' - . W ~-~c- _ ~ / Legal Description : Lot ~ Block~_Addition ~ t' ? Owner ~ ~ ~ ~ i. ~-~'-S ~ ~ ~ Phone ~J.3~_ "`7~C~ l Address ~ ~ ~ P.O.Box City Zip_~~~~ ~ v Contractor Phone ~ . Address P.d,Box City Zip Class of Work:. ( Erect ( )Alter ( )Repair ( )Enlarge ( )Move ( ) Demolish Proposed Use (Describe in Detail) ~ / '-=~m~ ~ ~ Commercial: Square Feet Number of Employees ~ era Heating Contractor tl ~ Z ~ ~ Plumbing Contractor ~ Sewer. & Water Contractor ~1 ~ ~ ~ C ` --a-a-.w-~-~~--,may Electrical Contractor ~`I ~ i'~ ~ ~ ~S'jbo Special Conditions ~ (o$ ' ~ Valuation of Work: ~~j S' ature of Applicant & Title: FOR CITY USE ONLY Zone City Fee $ ~ ~ C~~ c Date Plan Check $ ' Signature. of Zoning Officer: Surcharge $ SAC $ ~~c~CL..~ i~.. • ice-' i Date S/W Units $ ~ ~ R~ ~ ~ Signature of Building Inspector: Sewer Area $ i St. Area $ Park or Misc.$ Date TOTAL 5~~1~' ~-t-- ~ '