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HomeMy WebLinkAboutNo 12621 January 16, 19 85 62 , t3~0 . ~Q 784. t70 ..Valuation Water Unit City Of Lakevl II@ Bldg. Permi4 Fee 319. tJ0 Sewer Unit 575 . QQ' State Surcharge 31.00 ~eXArea . SBSatx. 2313.00 Metro SAC Charge 42 J . 00 Park Fee . . . BUILDING PERMIT Other roTa~ P/?IU......... 2,368.00 Receipt Stitcbilt t'onstrructian Gomp~ny, Inc..: Permission is hereby granted to Building on Lot No ~ Block Subdivision pbC~.d Po3.tt,t~ ~'22~-201~f0--X40-®~~ Parcel No. in the CITY OF LAKEVILLE to be used as to Go118tI%+.*~t S~.i1F,1P family drael:lin~ This permit is issuedontheexpressconditionthatthe ~ ERECTION ALTERATION REPAfRS ENLARGEMENT. MOVING DEMOLITION respects to the statements certified to irr the f ~ 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 1607.1 Excc1~~ior 'give: Sid Miller ' Director, License and Inspection ~ Call for inspections - 469-4431. BY _ ~ ~ ~ r i ~ v~ k I GI CZTY OF LAKEPILLE APPLICATION FOR BUILDING ?~tMIT 8747 208th St. W., P.O.Box 957 ~~~~D ~ i Lakeville,. I4i 55044 .:~1 " . (612) 469-4431 Job Site Address (<,C~? ~ ~ CC=cSi~c ~ ~ C a5 ~ l Legal Description: Lot Block j Addition ~O 1~~ ~b 11~~',,,Q Owner ~ T(K 1,31 ~ I L'0/JSjZ2Nc')'/ D ~ P ,y`~ ' C • Phone _ Cd S ~S~ Address ~ ~D I p ~ GJ~ P.O.Box: r. y City Zip s,~/ 2 Z Contractor _ pVVE= Phone Sf1 M i~ Address 5,~~^ ~ O.Box: y Zip Class of Work: Erect ( ) Alter ( ) Repair ( ) Enlarge ( ) *iove ( ) Demolish Proposed Use (Describe in Detail) S~ ~ CL, ~i`1M• ~d,,,(~~ Commercial: Square Feet f D ~ Employees ~Z Heating Contractor c~ V ,p K 5 Plumbing Contractor j t-} I ~ J ~ A~ ~ ~ L S Sewer & Water Contractor ~ C E1.ectrical Contractor l,~ ~ f~Z,l,~,~ Special Conditions Valuation of Work: $ ~ 2 , 0©p , ' FOR CIT° USE ONLY Signature of Applicant & T tle: ~ City Fee $ ~ / Plan Check $ t Date Surcharge $ ~ SAG $ r-r` ~ c:a Signature of Zoning Officer: S/W Units $ ~1 i ~ , Sewer Area $ t~ t,~ ~ Date Signature of Building Official: Street Area $ Park or Misc. $ Total $ ~ y, a~ ~ ~ Date: SID MILLER, BUILDING INSPECTOR